- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.77 / $26.33 / $224.11
| Facility | | $19.77 | $26.33 | $224.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $14.00 / $18.20
| Professional | | $8.06 | $14.00 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $9.13 / $9.13
| Professional | | $9.13 | $9.13 | $9.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.97 / $29.51 / $86.70
| Facility | | $15.97 | $29.51 | $86.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $13.69 / $26.25
| Professional | | $7.51 | $13.69 | $26.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.54 / $27.57 / $44.51
| Facility | | $10.54 | $27.57 | $44.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $20.10 / $30.19
| Professional | | $10.50 | $20.10 | $30.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $14.67 / $16.13
| Professional | | $10.83 | $14.67 | $16.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $16.73 / $33.58
| Facility | | $15.21 | $16.73 | $33.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $22.82 / $41.83
| Facility | | $15.21 | $22.82 | $41.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.69 / $13.69 / $13.69
| Professional | | $13.69 | $13.69 | $13.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $24.96 / $41.83
| Facility | | $17.48 | $24.96 | $41.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.41 / $15.21 / $41.32
| Professional | | $11.41 | $15.21 | $41.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $6.84 / $15.21
| Professional | | $6.39 | $6.84 | $15.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $6.84 / $7.88
| Professional | | $6.84 | $6.84 | $7.88 |