- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $18.86 / $33.85
| Facility | | $9.78 | $18.86 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $10.28 / $22.61
| Professional | | $7.50 | $10.28 | $22.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $31.43
| Facility | | $12.09 | $12.09 | $31.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.25 / $27.57
| Professional | | $5.51 | $7.25 | $27.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $12.09 / $12.09
| Facility | | $7.25 | $12.09 | $12.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $12.09 / $12.09
| Professional | | $8.83 | $12.09 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.81 / $29.73 / $108.57
| Facility | | $14.81 | $29.73 | $108.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $17.73 / $39.40
| Professional | | $7.76 | $17.73 | $39.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $27.20 / $332.00
| Facility | | $12.09 | $27.20 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.46 / $12.69 / $22.12
| Professional | | $8.46 | $12.69 | $22.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $12.09 / $21.92
| Professional | | $10.28 | $12.09 | $21.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $254.50
| Facility | | $13.73 | $29.81 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $17.30 / $38.34
| Professional | | $8.11 | $17.30 | $38.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $7.29 / $22.85
| Professional | | $5.44 | $7.29 | $22.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $13.30 / $32.13
| Facility | | $13.30 | $13.30 | $32.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $12.86 / $32.13
| Professional | | $11.49 | $12.86 | $32.13 |