- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $23.55 / $81.44
| Facility | | $14.40 | $23.55 | $81.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.22 / $14.78
| Professional | | $9.58 | $13.22 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $8.86
| Professional | | $8.86 | $8.86 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $29.56 / $100.00
| Facility | | $15.52 | $29.56 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $13.45 / $25.50
| Professional | | $7.30 | $13.45 | $25.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $29.15 / $43.25
| Facility | | $10.23 | $29.15 | $43.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $16.93 / $29.70
| Professional | | $10.33 | $16.93 | $29.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $14.26 / $15.68
| Professional | | $10.52 | $14.26 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $16.26 / $32.63
| Facility | | $14.78 | $16.26 | $32.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $22.17 / $40.64
| Facility | | $14.78 | $22.17 | $40.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.30 / $13.30 / $13.30
| Professional | | $13.30 | $13.30 | $13.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $24.25 / $40.65
| Facility | | $15.52 | $24.25 | $40.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $14.78 / $39.52
| Professional | | $11.09 | $14.78 | $39.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $6.21 / $15.75
| Professional | | $6.21 | $6.21 | $15.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $6.65 / $7.66
| Professional | | $6.65 | $6.65 | $7.66 |