- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $19.54 / $33.74
| Facility | | $10.06 | $19.54 | $33.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $10.06 / $11.84
| Professional | | $8.78 | $10.06 | $11.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $11.84 / $30.78
| Facility | | $11.84 | $11.84 | $30.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $7.16 / $26.73
| Professional | | $5.65 | $7.16 | $26.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $11.84 / $11.84
| Facility | | $7.10 | $11.84 | $11.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.64 / $11.84 / $11.84
| Professional | | $8.64 | $11.84 | $11.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $24.03 / $122.78
| Facility | | $8.27 | $24.03 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.15 / $58.75
| Professional | | $8.89 | $13.15 | $58.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $15.39 / $332.00
| Facility | | $6.50 | $15.39 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $7.10 / $21.67
| Professional | | $4.74 | $7.10 | $21.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $11.84 / $14.23
| Professional | | $10.06 | $11.84 | $14.23 |
- 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 / $16.28 / $35.00
| Professional | | $9.49 | $16.28 | $35.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $7.10 / $17.76
| Professional | | $4.97 | $7.10 | $17.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.62 / $13.62 / $43.64
| Facility | | $13.62 | $13.62 | $43.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.55 / $15.72
| Professional | | $10.44 | $12.55 | $15.72 |