- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.73 / $55.80 / $286.20
| Facility | | $11.73 | $55.80 | $286.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $7.52 / $10.30
| Professional | | $6.38 | $7.52 | $10.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $5.17 / $13.36
| Professional | | $4.30 | $5.17 | $13.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.61 / $9.48 / $15.25
| Facility | | $7.61 | $9.48 | $15.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $9.30
| Professional | | $4.26 | $4.26 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.43 / $5.43 / $5.43
| Facility | | $5.43 | $5.43 | $5.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $6.90 / $10.06
| Professional | | $6.90 | $6.90 | $10.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.57 / $9.05 / $11.64
| Facility | | $6.57 | $9.05 | $11.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $8.76 / $14.20
| Professional | | $5.60 | $8.76 | $14.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $8.86 / $32.18
| Facility | | $5.60 | $8.86 | $32.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $6.92 / $12.54
| Professional | | $4.46 | $6.92 | $12.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $50.22 / $124.54
| Facility | | $9.61 | $50.22 | $124.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $6.65 / $16.14
| Professional | | $3.45 | $6.65 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $7.11 / $10.35
| Professional | | $6.47 | $7.11 | $10.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $8.61 / $8.61
| Facility | | $5.60 | $8.61 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $5.17 / $12.03
| Professional | | $3.62 | $5.17 | $12.03 |