- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $17.52 / $29.58
| Facility | | $9.41 | $17.52 | $29.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $8.82 / $10.38
| Professional | | $7.35 | $8.82 | $10.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $10.38 / $26.99
| Facility | | $10.38 | $10.38 | $26.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.22 / $22.32
| Professional | | $4.72 | $6.22 | $22.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $10.38 / $10.38
| Facility | | $6.23 | $10.38 | $10.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $10.38 / $10.38
| Professional | | $7.58 | $10.38 | $10.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $21.20 / $101.87
| Facility | | $7.25 | $21.20 | $101.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $10.96 / $90.18
| Professional | | $7.37 | $10.96 | $90.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $13.49 / $332.00
| Facility | | $6.50 | $13.49 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $9.64 / $19.00
| Professional | | $4.74 | $9.64 | $19.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $10.37 / $13.14
| Professional | | $8.30 | $10.37 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.46 / $25.54 / $133.56
| Facility | | $12.46 | $25.54 | $133.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $13.60 / $75.00
| Professional | | $7.91 | $13.60 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $5.09 / $15.25
| Professional | | $4.36 | $5.09 | $15.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.94 / $11.94 / $36.46
| Facility | | $11.94 | $11.94 | $36.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $11.06 / $26.17
| Professional | | $8.30 | $11.06 | $26.17 |