- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.76 / $20.13 / $36.08
| Facility | | $10.76 | $20.13 | $36.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $8.53 / $13.19
| Professional | | $7.88 | $8.53 | $13.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.66 / $12.66 / $32.92
| Facility | | $12.66 | $12.66 | $32.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.73 / $23.46
| Professional | | $5.05 | $6.73 | $23.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $12.66 / $12.66
| Facility | | $7.60 | $12.66 | $12.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $12.66 / $12.66
| Professional | | $9.24 | $12.66 | $12.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $26.59 / $113.84
| Facility | | $8.84 | $26.59 | $113.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $12.78 / $73.45
| Professional | | $8.24 | $12.78 | $73.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $16.46 / $332.00
| Facility | | $5.50 | $16.46 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.60 / $23.17
| Professional | | $5.05 | $7.60 | $23.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $10.61 / $13.27
| Professional | | $7.04 | $10.61 | $13.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $149.26
| Facility | | $13.73 | $30.64 | $149.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $15.00 / $24.29
| Professional | | $8.86 | $15.00 | $24.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $6.01 / $18.59
| Professional | | $5.32 | $6.01 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.56 / $14.56 / $28.79
| Facility | | $14.56 | $14.56 | $28.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $10.61 / $15.22
| Professional | | $7.04 | $10.61 | $15.22 |