- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.31 / $22.56 / $101.10
| Facility | | $13.31 | $22.56 | $101.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $17.70 / $20.64
| Professional | | $7.08 | $17.70 | $20.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.87 / $25.49 / $70.00
| Facility | | $14.87 | $25.49 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $11.99 / $23.22
| Professional | | $5.66 | $11.99 | $23.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $20.79 / $36.79
| Facility | | $7.20 | $20.79 | $36.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $16.52 / $20.94
| Professional | | $7.44 | $16.52 | $20.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $13.66 / $15.02
| Professional | | $10.08 | $13.66 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.16 / $14.87 / $31.26
| Facility | | $14.16 | $14.87 | $31.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.16 / $21.24 / $38.94
| Facility | | $14.16 | $21.24 | $38.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $12.74 / $12.74
| Professional | | $12.74 | $12.74 | $12.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.28 / $23.24 / $38.94
| Facility | | $16.28 | $23.24 | $38.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $14.16 / $38.61
| Professional | | $10.62 | $14.16 | $38.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $5.95 / $15.86
| Professional | | $5.95 | $5.95 | $15.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $6.37 / $7.33
| Professional | | $6.37 | $6.37 | $7.33 |