- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $47.57 / $103.45
| Facility | | $10.02 | $47.57 | $103.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $11.47 / $13.25
| Professional | | $7.95 | $11.47 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $7.95 / $9.19
| Professional | | $6.36 | $7.95 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.43 / $43.72 / $79.23
| Facility | | $16.43 | $43.72 | $79.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.02 / $11.93
| Professional | | $5.00 | $7.02 | $11.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $12.66 / $19.88
| Professional | | $9.27 | $12.66 | $19.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.98 / $12.98 / $13.25
| Facility | | $12.98 | $12.98 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $29.10 / $67.43
| Facility | | $9.26 | $29.10 | $67.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.75 / $22.43
| Professional | | $7.02 | $9.75 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $80.00 / $100.00
| Facility | | $50.00 | $80.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $13.25 / $17.23
| Facility | | $10.60 | $13.25 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $13.25 / $17.26
| Professional | | $11.93 | $13.25 | $17.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $13.25 / $33.25
| Facility | | $10.60 | $13.25 | $33.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $10.19 / $19.14
| Professional | | $7.02 | $10.19 | $19.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.63 / $10.96
| Professional | | $5.57 | $7.63 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.54 / $13.25
| Professional | | $5.17 | $6.54 | $13.25 |