- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.88 / $32.26 / $97.09
| Facility | | $17.88 | $32.26 | $97.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $13.32 / $13.91
| Professional | | $7.83 | $13.32 | $13.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $8.88 / $8.88
| Professional | | $8.88 | $8.88 | $8.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $25.90 / $162.06
| Facility | | $15.54 | $25.90 | $162.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $13.47 / $28.12
| Professional | | $7.31 | $13.47 | $28.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $30.30 / $51.81
| Facility | | $10.24 | $30.30 | $51.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $19.30 / $29.70
| Professional | | $10.33 | $19.30 | $29.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.53 / $14.28 / $15.70
| Professional | | $10.53 | $14.28 | $15.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $15.54 / $32.67
| Facility | | $14.80 | $15.54 | $32.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $22.20 / $40.70
| Facility | | $14.80 | $22.20 | $40.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.32 / $13.32 / $13.32
| Professional | | $13.32 | $13.32 | $13.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $24.29 / $40.70
| Facility | | $15.54 | $24.29 | $40.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.10 / $14.80 / $39.52
| Professional | | $11.10 | $14.80 | $39.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $6.22 / $14.80
| Professional | | $6.22 | $6.22 | $14.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $6.66 / $7.67
| Professional | | $6.66 | $6.66 | $7.67 |