- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $35.48 / $123.03
| Facility | | $15.14 | $35.48 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $35.48
| Professional | | $7.94 | $10.96 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $134.90
| Facility | | $10.96 | $16.98 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $12.02 / $25.12
| Professional | | $6.31 | $12.02 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $38.02 / $54.95
| Facility | | $30.20 | $38.02 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $15.49
| Professional | | $11.22 | $11.22 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $19.05 / $46.77
| Facility | | $9.33 | $19.05 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $20.89 / $51.29
| Professional | | $13.18 | $20.89 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $46.77 / $7,079.46
| Facility | | $12.30 | $46.77 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $19.95 / $34.67
| Professional | | $13.80 | $19.95 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $36.31
| Professional | | $12.02 | $12.02 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $33.88 / $77.62
| Facility | | $15.14 | $33.88 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $134.90
| Facility | | $10.96 | $16.98 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $12.02 / $25.12
| Professional | | $6.31 | $12.02 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $12.02 / $19.50
| Facility | | $7.24 | $12.02 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.12 / $30.20
| Professional | | $6.03 | $9.12 | $30.20 |