- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.81 / $49.57 / $98.67
| Facility | | $12.81 | $49.57 | $98.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $11.15 / $16.30
| Professional | | $9.28 | $11.15 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $8.60 / $22.92
| Professional | | $6.20 | $8.60 | $22.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $24.04 / $60.00
| Facility | | $13.01 | $24.04 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $11.27 / $21.40
| Professional | | $6.12 | $11.27 | $21.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.58 / $25.36 / $36.22
| Facility | | $8.58 | $25.36 | $36.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $16.14 / $24.84
| Professional | | $8.61 | $16.14 | $24.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $11.95 / $13.14
| Professional | | $8.82 | $11.95 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $13.63 / $29.73
| Facility | | $12.39 | $13.63 | $29.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $18.59 / $34.07
| Facility | | $12.39 | $18.59 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $11.15 / $11.15
| Professional | | $11.15 | $11.15 | $11.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $20.44 / $34.07
| Facility | | $14.25 | $20.44 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $12.39 / $33.22
| Professional | | $9.28 | $12.39 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $6.14 / $13.88
| Professional | | $5.20 | $6.14 | $13.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $5.58 / $6.42
| Professional | | $5.58 | $5.58 | $6.42 |