- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.35 / $20.10 / $34.71
| Facility | | $10.35 | $20.10 | $34.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.35 / $12.42
| Professional | | $6.49 | $10.35 | $12.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.18 / $12.18 / $31.67
| Facility | | $12.18 | $12.18 | $31.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.69 / $22.14
| Professional | | $4.42 | $6.69 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $12.18 / $12.18
| Facility | | $7.31 | $12.18 | $12.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $12.18 / $12.18
| Professional | | $8.89 | $12.18 | $12.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $25.74 / $94.03
| Facility | | $8.51 | $25.74 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $78.94
| Professional | | $8.89 | $13.52 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $17.05 / $332.00
| Facility | | $8.60 | $17.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $7.31 / $22.29
| Professional | | $4.87 | $7.31 | $22.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.57 / $14.64
| Professional | | $10.23 | $11.57 | $14.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $160.97
| Facility | | $13.73 | $29.81 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $12.18 / $25.09
| Professional | | $9.44 | $12.18 | $25.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.12 / $7.31 / $21.54
| Professional | | $5.12 | $7.31 | $21.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $42.22
| Facility | | $14.01 | $14.01 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.77 / $15.21
| Professional | | $10.23 | $12.77 | $15.21 |