- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.97 / $34.40 / $94.28
| Facility | | $16.97 | $34.40 | $94.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $14.78 / $29.16
| Professional | | $8.93 | $14.78 | $29.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.97 / $34.22 / $100.00
| Facility | | $17.97 | $34.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $15.40 / $28.46
| Professional | | $7.94 | $15.40 | $28.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.13 / $35.03 / $57.08
| Facility | | $11.13 | $35.03 | $57.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $22.33 / $32.14
| Professional | | $11.19 | $22.33 | $32.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.18 / $16.51 / $18.16
| Professional | | $12.18 | $16.51 | $18.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.11 / $17.97 / $41.00
| Facility | | $17.11 | $17.97 | $41.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.11 / $25.67 / $47.05
| Facility | | $17.11 | $25.67 | $47.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.40 / $15.40 / $15.40
| Professional | | $15.40 | $15.40 | $15.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.68 / $28.08 / $47.05
| Facility | | $19.68 | $28.08 | $47.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $17.11 / $45.81
| Professional | | $12.83 | $17.11 | $45.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $16.25 / $17.11
| Facility | | $11.12 | $16.25 | $17.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $7.19 / $17.11
| Professional | | $7.19 | $7.19 | $17.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $7.70 / $8.86
| Professional | | $7.70 | $7.70 | $8.86 |