- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.74 / $31.99 / $51.18
| Facility | | $15.74 | $31.99 | $51.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.57 / $15.71 / $18.28
| Professional | | $13.57 | $15.71 | $18.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.28 / $18.28 / $47.53
| Facility | | $18.28 | $18.28 | $47.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $11.05 / $41.24
| Professional | | $8.27 | $11.05 | $41.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $18.28 / $18.28
| Facility | | $10.97 | $18.28 | $18.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $18.28 / $18.28
| Professional | | $13.34 | $18.28 | $18.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $36.74 / $188.72
| Facility | | $12.77 | $36.74 | $188.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.66 / $20.46 / $117.52
| Professional | | $13.66 | $20.46 | $117.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $23.76 / $332.00
| Facility | | $8.60 | $23.76 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $10.97 / $33.45
| Professional | | $7.31 | $10.97 | $33.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.54 / $18.28 / $24.25
| Professional | | $15.54 | $18.28 | $24.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $44.27 / $247.44
| Facility | | $17.82 | $44.27 | $247.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.63 / $25.13 / $45.00
| Professional | | $14.63 | $25.13 | $45.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $10.05 / $26.85
| Professional | | $7.68 | $10.05 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.02 / $21.02 / $67.30
| Facility | | $21.02 | $21.02 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.10 / $20.42 / $26.35
| Professional | | $16.10 | $20.42 | $26.35 |