- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.40 / $26.03 / $70.36
| Facility | | $12.40 | $26.03 | $70.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $12.84 / $25.12
| Professional | | $9.35 | $12.84 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $37.40
| Facility | | $14.39 | $14.39 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.63 / $30.59
| Professional | | $6.37 | $8.63 | $30.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.63 / $14.39 / $14.39
| Facility | | $8.63 | $14.39 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.39 / $14.39
| Professional | | $10.50 | $14.39 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $30.19 / $146.72
| Facility | | $10.06 | $30.19 | $146.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.07 / $91.81
| Professional | | $10.63 | $16.07 | $91.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $18.71 / $332.00
| Facility | | $7.00 | $18.71 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $8.63 / $26.33
| Professional | | $5.76 | $8.63 | $26.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $12.54 / $15.52
| Professional | | $8.52 | $12.54 | $15.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.03 / $34.90 / $192.38
| Facility | | $14.03 | $34.90 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $17.86 / $29.64
| Professional | | $11.47 | $17.86 | $29.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.63 / $21.14
| Professional | | $6.04 | $8.63 | $21.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $16.55 / $34.79
| Facility | | $16.55 | $16.55 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $13.67 / $17.30
| Professional | | $8.52 | $13.67 | $17.30 |