- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $32.74 / $84.30
| Facility | | $14.38 | $32.74 | $84.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $14.09 / $26.04
| Professional | | $8.10 | $14.09 | $26.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $35.19 / $90.00
| Facility | | $16.07 | $35.19 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.56 / $13.77 / $26.40
| Professional | | $7.56 | $13.77 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $27.75 / $44.78
| Facility | | $10.59 | $27.75 | $44.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $20.10 / $30.68
| Professional | | $10.67 | $20.10 | $30.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $14.76 / $16.23
| Professional | | $10.89 | $14.76 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $16.07 / $33.77
| Facility | | $15.30 | $16.07 | $33.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $22.95 / $42.08
| Facility | | $15.30 | $22.95 | $42.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.77 / $13.77 / $13.77
| Professional | | $13.77 | $13.77 | $13.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $25.25 / $42.08
| Facility | | $17.60 | $25.25 | $42.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $15.30 / $41.32
| Professional | | $11.48 | $15.30 | $41.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $6.43 / $15.30
| Professional | | $6.43 | $6.43 | $15.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $6.89 / $7.93
| Professional | | $6.89 | $6.89 | $7.93 |