- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $16.71 / $29.95
| Facility | | $8.93 | $16.71 | $29.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $8.19 / $10.51
| Professional | | $4.32 | $8.19 | $10.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $10.51 / $27.33
| Facility | | $10.51 | $10.51 | $27.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $5.20 / $16.73
| Professional | | $2.98 | $5.20 | $16.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $10.51 / $10.51
| Facility | | $6.31 | $10.51 | $10.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $10.51 / $10.51
| Professional | | $7.67 | $10.51 | $10.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $21.20 / $62.53
| Facility | | $7.34 | $21.20 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $10.96 / $60.60
| Professional | | $7.16 | $10.96 | $60.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $13.66 / $332.00
| Facility | | $6.00 | $13.66 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $6.31 / $19.23
| Professional | | $4.20 | $6.31 | $19.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $9.21 / $11.80
| Professional | | $6.24 | $9.21 | $11.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $25.54 / $129.58
| Facility | | $12.61 | $25.54 | $129.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $11.32 / $21.12
| Professional | | $7.70 | $11.32 | $21.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $6.24 / $18.59
| Professional | | $4.41 | $6.24 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $28.17
| Facility | | $12.09 | $12.09 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $9.98 / $12.63
| Professional | | $6.24 | $9.98 | $12.63 |