- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $21.09 / $45.07
| Facility | | $11.63 | $21.09 | $45.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $14.35 / $26.60
| Professional | | $10.02 | $14.35 | $26.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $31.33
| Facility | | $12.05 | $12.05 | $31.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $7.36 / $32.03
| Professional | | $7.36 | $7.36 | $32.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.04 / $18.39 / $18.39
| Facility | | $11.04 | $18.39 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $18.39 / $18.39
| Professional | | $13.43 | $18.39 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $21.54 / $29.73
| Facility | | $9.75 | $21.54 | $29.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $17.04 / $58.08
| Professional | | $10.30 | $17.04 | $58.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $19.88 / $332.00
| Facility | | $14.46 | $19.88 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.17 / $22.53
| Professional | | $4.82 | $7.17 | $22.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $11.15 / $11.15
| Facility | | $11.15 | $11.15 | $11.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $12.05 / $17.21
| Professional | | $11.15 | $12.05 | $17.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $14.49 / $239.82
| Facility | | $10.62 | $14.49 | $239.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $25.45 / $555.00
| Facility | | $12.85 | $25.45 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $13.80 / $37.90
| Professional | | $11.96 | $13.80 | $37.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.73 / $27.02
| Professional | | $5.72 | $7.73 | $27.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $13.86 / $26.02
| Facility | | $13.86 | $13.86 | $26.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.45 / $14.38 / $19.23
| Professional | | $11.45 | $14.38 | $19.23 |