- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.32 / $32.97 / $92.39
| Facility | | $11.32 | $32.97 | $92.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $9.94 / $11.32
| Professional | | $8.99 | $9.94 | $11.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $58.34
| Facility | | $11.98 | $11.98 | $58.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $5.92 / $7.24
| Professional | | $5.92 | $5.92 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.63 / $49.86 / $74.64
| Professional | | $32.63 | $49.86 | $74.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $30.63 / $62.07
| Facility | | $8.38 | $30.63 | $62.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $7.99 / $13.63
| Professional | | $6.79 | $7.99 | $13.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $14.98 / $17.73
| Professional | | $14.38 | $14.98 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $10.87 / $19.51
| Facility | | $10.06 | $10.87 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $20.46 / $30.00
| Professional | | $8.44 | $20.46 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $15.72 / $4,071.00
| Facility | | $9.32 | $15.72 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $15.63 / $4,071.00
| Professional | | $9.32 | $15.63 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $24.54
| Facility | | $11.98 | $11.98 | $24.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.83 / $14.01
| Professional | | $5.03 | $6.83 | $14.01 |