- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $20.66 / $35.68
| Facility | | $10.64 | $20.66 | $35.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $10.64 / $12.52
| Professional | | $3.38 | $10.64 | $12.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $12.52 / $32.54
| Facility | | $12.52 | $12.52 | $32.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $6.18 / $17.28
| Professional | | $2.52 | $6.18 | $17.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $12.52 / $12.52
| Facility | | $7.51 | $12.52 | $12.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $12.52 / $12.52
| Professional | | $9.14 | $12.52 | $12.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $26.46 / $50.00
| Facility | | $8.75 | $26.46 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $14.25 / $80.78
| Professional | | $9.33 | $14.25 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $18.34 / $332.00
| Facility | | $10.60 | $18.34 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.51 / $22.91
| Professional | | $5.01 | $7.51 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.64 / $12.52 / $16.63
| Professional | | $10.64 | $12.52 | $16.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $168.83
| Facility | | $13.73 | $30.64 | $168.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $10.98 / $40.00
| Professional | | $8.25 | $10.98 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $7.51 / $18.78
| Professional | | $4.38 | $7.51 | $18.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $14.40 / $46.14
| Facility | | $14.40 | $14.40 | $46.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $14.01 / $18.88
| Professional | | $11.04 | $14.01 | $18.88 |