- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.94 / $18.05 / $21.25
| Facility | | $15.94 | $18.05 | $21.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $12.97 / $18.05
| Professional | | $4.94 | $12.97 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.23 / $61.23 / $61.23
| Facility | | $61.23 | $61.23 | $61.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $17.75 / $80.88
| Professional | | $6.44 | $17.75 | $80.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.28 / $21.72 / $41.19
| Facility | | $17.28 | $21.72 | $41.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $22.48 / $34.32
| Professional | | $14.46 | $22.48 | $34.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $12.00 / $35.47
| Professional | | $3.20 | $12.00 | $35.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $12.89 / $16.80
| Facility | | $5.00 | $12.89 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $12.61 / $16.80
| Professional | | $5.00 | $12.61 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $27.72 / $40.01
| Professional | | $13.23 | $27.72 | $40.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.91 / $11.91 / $11.91
| Facility | | $11.91 | $11.91 | $11.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $15.39 / $23.06
| Professional | | $11.12 | $15.39 | $23.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.23 / $61.23 / $61.23
| Facility | | $61.23 | $61.23 | $61.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $16.39 / $91.77
| Professional | | $5.60 | $16.39 | $91.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $12.06 / $27.40
| Professional | | $4.07 | $12.06 | $27.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $14.36 / $30.56
| Professional | | $5.00 | $14.36 | $30.56 |