- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.82 / $25.02 / $113.48
| Facility | | $18.82 | $25.02 | $113.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $9.99 / $13.61
| Professional | | $7.24 | $9.99 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.20 / $28.96 / $100.00
| Facility | | $15.20 | $28.96 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $12.51 / $23.22
| Professional | | $5.79 | $12.51 | $23.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.52 / $21.27 / $37.64
| Facility | | $7.52 | $21.27 | $37.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.62 / $16.93 / $21.91
| Professional | | $7.62 | $16.93 | $21.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $13.97 / $15.36
| Professional | | $10.31 | $13.97 | $15.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $15.20 / $31.96
| Facility | | $14.48 | $15.20 | $31.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $21.72 / $39.82
| Facility | | $14.48 | $21.72 | $39.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $13.03 / $13.03
| Professional | | $13.03 | $13.03 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.64 / $23.76 / $39.82
| Facility | | $16.64 | $23.76 | $39.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $14.48 / $38.61
| Professional | | $10.86 | $14.48 | $38.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $14.48
| Professional | | $6.08 | $6.08 | $14.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $6.52 / $7.50
| Professional | | $6.52 | $6.52 | $7.50 |