- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $24.55 / $70.79
| Facility | | $10.00 | $24.55 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $15.14
| Professional | | $7.08 | $10.00 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $42.66 / $72.44
| Facility | | $16.22 | $42.66 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.24 / $12.02
| Professional | | $5.01 | $7.24 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $13.18 / $13.18
| Facility | | $9.33 | $13.18 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $28.84 / $70.79
| Facility | | $12.88 | $28.84 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.55 / $22.39
| Professional | | $6.92 | $9.55 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $138.04 / $138.04
| Facility | | $66.07 | $138.04 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $13.18 / $24.55
| Facility | | $10.00 | $13.18 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $11.75 / $16.22
| Professional | | $7.08 | $11.75 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.96 / $33.11
| Professional | | $10.00 | $10.96 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $13.18 / $38.90
| Facility | | $10.23 | $13.18 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $9.55 / $22.39
| Professional | | $7.59 | $9.55 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $7.94 / $13.18
| Facility | | $4.79 | $7.94 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.76 / $10.72
| Professional | | $5.50 | $7.76 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $13.18
| Professional | | $5.13 | $5.13 | $13.18 |