- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $36.51 / $87.28
| Facility | | $15.84 | $36.51 | $87.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $14.89 / $18.96
| Professional | | $8.40 | $14.89 | $18.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $9.50 / $9.50
| Professional | | $9.50 | $9.50 | $9.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.63 / $30.89 / $114.75
| Facility | | $16.63 | $30.89 | $114.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $14.41 / $28.00
| Professional | | $7.82 | $14.41 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $32.45 / $77.31
| Facility | | $10.96 | $32.45 | $77.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $20.36 / $31.65
| Professional | | $11.02 | $20.36 | $31.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $15.28 / $16.80
| Professional | | $11.28 | $15.28 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $17.42 / $34.97
| Facility | | $15.84 | $17.42 | $34.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $23.76 / $43.56
| Facility | | $15.84 | $23.76 | $43.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.26 / $14.26 / $14.26
| Professional | | $14.26 | $14.26 | $14.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $26.14 / $43.56
| Facility | | $18.22 | $26.14 | $43.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $15.84 / $43.11
| Professional | | $11.88 | $15.84 | $43.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $7.13 / $17.73
| Professional | | $6.65 | $7.13 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $7.13 / $8.21
| Professional | | $7.13 | $7.13 | $8.21 |