- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $23.99 / $70.79
| Facility | | $9.33 | $23.99 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $14.79
| Professional | | $7.08 | $10.00 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $42.66 / $74.13
| Facility | | $16.98 | $42.66 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $12.30
| Professional | | $5.01 | $7.08 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $13.80
| Facility | | $12.59 | $12.59 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $25.12 / $57.54
| Facility | | $10.72 | $25.12 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.71 / $20.42
| Professional | | $6.76 | $8.71 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Facility | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $12.59 / $25.12
| Facility | | $6.76 | $12.59 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $15.49
| Professional | | $7.08 | $10.00 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.72 / $10.72
| Professional | | $9.55 | $10.72 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $12.59 / $35.48
| Facility | | $7.08 | $12.59 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.91 / $20.42
| Professional | | $6.76 | $8.91 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $7.59 / $12.59
| Facility | | $4.57 | $7.59 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.08 / $16.60
| Professional | | $5.37 | $7.08 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $12.59
| Professional | | $5.01 | $5.01 | $12.59 |