- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.69 / $25.60 / $45.89
| Facility | | $13.69 | $25.60 | $45.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.81 / $16.10
| Professional | | $6.49 | $10.81 | $16.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $16.10 / $41.86
| Facility | | $16.10 | $16.10 | $41.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.82 / $24.71
| Professional | | $4.42 | $7.82 | $24.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $16.10 / $16.10
| Facility | | $9.66 | $16.10 | $16.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $16.10 / $16.10
| Professional | | $11.75 | $16.10 | $16.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $32.50 / $94.03
| Facility | | $11.25 | $32.50 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $16.44 / $78.94
| Professional | | $9.22 | $16.44 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $20.93 / $332.00
| Facility | | $8.60 | $20.93 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $9.66 / $29.46
| Professional | | $7.36 | $9.66 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $15.21 / $19.35
| Professional | | $10.23 | $15.21 | $19.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.76 / $39.15 / $176.68
| Facility | | $14.76 | $39.15 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.88 / $26.40
| Professional | | $9.44 | $13.88 | $26.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.06 / $23.65
| Professional | | $6.76 | $9.06 | $23.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.51 / $18.51 / $42.22
| Facility | | $18.51 | $18.51 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $15.21 / $20.77
| Professional | | $10.23 | $15.21 | $20.77 |