- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $20.21 / $33.89
| Facility | | $10.11 | $20.21 | $33.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $9.51 / $11.89
| Professional | | $5.67 | $9.51 | $11.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.89 / $11.89 / $30.91
| Facility | | $11.89 | $11.89 | $30.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.87 / $7.19 / $21.20
| Professional | | $5.87 | $7.19 | $21.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.13 / $11.89 / $11.89
| Facility | | $7.13 | $11.89 | $11.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $11.89 / $11.89
| Professional | | $8.68 | $11.89 | $11.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $24.03 / $82.12
| Facility | | $8.30 | $24.03 | $82.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $77.12
| Professional | | $8.89 | $13.52 | $77.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $15.46 / $332.00
| Facility | | $6.00 | $15.46 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.02 / $21.76
| Professional | | $4.76 | $7.02 | $21.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.15 / $12.56
| Professional | | $6.91 | $10.15 | $12.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.95 / $160.97
| Facility | | $13.73 | $28.95 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $13.83 / $45.00
| Professional | | $9.49 | $13.83 | $45.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $6.54 / $18.43
| Professional | | $4.98 | $6.54 | $18.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $13.67 / $28.17
| Facility | | $13.67 | $13.67 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $11.30 / $14.29
| Professional | | $6.91 | $11.30 | $14.29 |