- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.04 / $27.27 / $78.41
| Facility | | $11.04 | $27.27 | $78.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $10.52 / $17.53
| Professional | | $8.18 | $10.52 | $17.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $8.77 / $9.13
| Professional | | $8.77 | $8.77 | $9.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.12 / $45.44 / $84.30
| Facility | | $16.12 | $45.44 | $84.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.74 / $14.03
| Professional | | $5.00 | $7.74 | $14.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.88 / $21.92 / $108.37
| Facility | | $13.88 | $21.92 | $108.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.61 / $14.61 / $14.61
| Facility | | $14.61 | $14.61 | $14.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $25.57 / $64.91
| Facility | | $10.21 | $25.57 | $64.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $8.06 / $22.43
| Professional | | $6.97 | $8.06 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.66 / $102.56 / $102.56
| Facility | | $80.66 | $102.56 | $102.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $14.61 / $17.53
| Facility | | $10.64 | $14.61 | $17.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $14.61 / $14.61
| Professional | | $13.55 | $14.61 | $14.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $14.61 / $33.65
| Facility | | $10.64 | $14.61 | $33.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $9.17 / $15.81
| Professional | | $6.97 | $9.17 | $15.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $6.42 / $11.31
| Professional | | $6.14 | $6.42 | $11.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $5.84 / $14.61
| Professional | | $5.70 | $5.84 | $14.61 |