- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $22.46 / $38.79
| Facility | | $11.57 | $22.46 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $10.27 / $13.61
| Professional | | $7.12 | $10.27 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $13.61 / $35.39
| Facility | | $13.61 | $13.61 | $35.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $7.04 / $23.41
| Professional | | $4.67 | $7.04 | $23.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.17 / $13.61 / $13.61
| Facility | | $8.17 | $13.61 | $13.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $13.61 / $13.61
| Professional | | $9.94 | $13.61 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $28.75 / $103.06
| Facility | | $9.51 | $28.75 | $103.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.46 / $13.88 / $75.28
| Professional | | $8.46 | $13.88 | $75.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $17.69 / $332.00
| Facility | | $7.60 | $17.69 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $8.17 / $24.91
| Professional | | $5.44 | $8.17 | $24.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $11.57 / $15.29
| Professional | | $8.66 | $11.57 | $15.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.20 / $153.13
| Facility | | $13.73 | $33.20 | $153.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $14.05 / $24.82
| Professional | | $9.09 | $14.05 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $7.37 / $19.98
| Professional | | $5.71 | $7.37 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.65 / $15.65 / $35.34
| Facility | | $15.65 | $15.65 | $35.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $12.73 / $16.36
| Professional | | $8.66 | $12.73 | $16.36 |