- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.05 / $19.77 / $33.15
| Facility | | $11.05 | $19.77 | $33.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $9.00 / $11.63
| Professional | | $7.88 | $9.00 | $11.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $11.63 / $30.24
| Facility | | $11.63 | $11.63 | $30.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $7.03 / $26.25
| Professional | | $5.27 | $7.03 | $26.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $11.63 / $11.63
| Facility | | $6.98 | $11.63 | $11.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $11.63 / $11.63
| Professional | | $8.49 | $11.63 | $11.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $24.44 / $119.83
| Facility | | $8.13 | $24.44 | $119.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $13.15 / $60.12
| Professional | | $8.68 | $13.15 | $60.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $17.45 / $332.00
| Facility | | $10.10 | $17.45 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $6.98 / $21.28
| Professional | | $4.65 | $6.98 | $21.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.89 / $11.63 / $15.45
| Professional | | $9.89 | $11.63 | $15.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.09 / $157.11
| Facility | | $13.73 | $28.09 | $157.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $15.60 / $23.96
| Professional | | $9.28 | $15.60 | $23.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.98 / $17.45
| Professional | | $4.88 | $6.98 | $17.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $13.37 / $42.88
| Facility | | $13.37 | $13.37 | $42.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $13.01 / $16.21
| Professional | | $10.26 | $13.01 | $16.21 |