- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $23.26 / $61.18
| Facility | | $9.22 | $23.26 | $61.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $9.47 / $21.38
| Professional | | $6.98 | $9.47 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $5.98 / $7.48
| Professional | | $5.98 | $5.98 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.08 / $38.88 / $73.51
| Facility | | $13.08 | $38.88 | $73.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.60 / $9.97
| Professional | | $5.00 | $6.60 | $9.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $12.46 / $17.44
| Professional | | $8.72 | $12.46 | $17.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $12.46 / $12.46
| Facility | | $6.65 | $12.46 | $12.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $27.22 / $63.45
| Facility | | $8.71 | $27.22 | $63.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $9.02 / $20.79
| Professional | | $6.60 | $9.02 | $20.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.76 / $102.00 / $210.00
| Facility | | $67.76 | $102.00 | $210.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $12.46 / $16.20
| Facility | | $9.35 | $12.46 | $16.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $12.46 / $16.23
| Professional | | $11.21 | $12.46 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $12.46 / $28.90
| Facility | | $9.72 | $12.46 | $28.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $9.58 / $17.98
| Professional | | $6.60 | $9.58 | $17.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $7.14 / $10.70
| Professional | | $5.23 | $7.14 | $10.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.15 / $12.46
| Professional | | $4.86 | $6.15 | $12.46 |