- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.14 / $32.24 / $118.02
| Facility | | $12.14 | $32.24 | $118.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $13.98 / $26.60
| Professional | | $10.30 | $13.98 | $26.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $7.53
| Professional | | $7.23 | $7.23 | $7.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.53 / $58.70 / $105.62
| Facility | | $21.53 | $58.70 | $105.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.39 / $10.72
| Professional | | $5.00 | $6.39 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $18.07 / $27.11
| Facility | | $12.05 | $18.07 | $27.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.85 / $16.87
| Professional | | $8.44 | $10.85 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $14.34 / $14.34
| Facility | | $14.34 | $14.34 | $14.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $23.96 / $54.36
| Facility | | $11.74 | $23.96 | $54.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $9.75 / $22.81
| Professional | | $4.94 | $9.75 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.49 / $60.00 / $60.00
| Facility | | $24.49 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $12.05 / $15.67
| Facility | | $9.64 | $12.05 | $15.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $12.05 / $71.09
| Professional | | $10.85 | $12.05 | $71.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $12.05 / $23.81
| Facility | | $9.75 | $12.05 | $23.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $17.48 / $19.41
| Professional | | $6.20 | $17.48 | $19.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $7.73 / $11.04
| Professional | | $7.35 | $7.73 | $11.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $7.36 / $12.05
| Professional | | $6.24 | $7.36 | $12.05 |