- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $23.10 / $39.90
| Facility | | $13.30 | $23.10 | $39.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $11.91 / $14.00
| Professional | | $10.40 | $11.91 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $14.00 / $36.40
| Facility | | $14.00 | $14.00 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $8.40 / $29.76
| Professional | | $6.19 | $8.40 | $29.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $14.00 / $14.00
| Facility | | $8.40 | $14.00 | $14.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.22 / $14.00 / $14.00
| Professional | | $10.22 | $14.00 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $29.47 / $143.78
| Facility | | $9.77 | $29.47 | $143.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $15.71 / $89.98
| Professional | | $10.41 | $15.71 | $89.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $18.20 / $332.00
| Facility | | $6.50 | $18.20 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $8.40 / $25.62
| Professional | | $5.60 | $8.40 | $25.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $13.30 / $16.82
| Professional | | $8.41 | $13.30 | $16.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $34.04 / $188.51
| Facility | | $13.73 | $34.04 | $188.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $17.71 / $42.45
| Professional | | $11.24 | $17.71 | $42.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $8.40 / $26.25
| Professional | | $5.88 | $8.40 | $26.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $16.10 / $34.28
| Facility | | $16.10 | $16.10 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $13.45 / $34.28
| Professional | | $8.41 | $13.45 | $34.28 |