- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $29.52 / $57.21
| Facility | | $11.41 | $29.52 | $57.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $11.00 / $11.41
| Professional | | $10.07 | $11.00 | $11.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $13.42 / $65.36
| Facility | | $13.42 | $13.42 | $65.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $5.92 / $8.11
| Professional | | $5.92 | $5.92 | $8.11 |
- 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
- $9.36 / $30.63 / $63.88
| Facility | | $9.36 | $30.63 | $63.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $8.23 / $15.28
| Professional | | $6.84 | $8.23 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.10 / $16.78 / $19.86
| Professional | | $16.10 | $16.78 | $19.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $14.52 / $19.51
| Facility | | $10.74 | $14.52 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $19.00 / $30.00
| Professional | | $9.19 | $19.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $17.51 / $4,071.00
| Facility | | $9.80 | $17.51 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $17.51 / $4,071.00
| Professional | | $9.39 | $17.51 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.05 / $13.42 / $20.62
| Facility | | $8.05 | $13.42 | $20.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.09 / $11.54
| Professional | | $5.64 | $7.09 | $11.54 |