- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.08 / $18.17 / $30.24
| Facility | | $13.08 | $18.17 | $30.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.08 / $16.14 / $22.21
| Professional | | $13.08 | $16.14 | $22.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.38 / $14.13 / $29.56
| Professional | | $11.38 | $14.13 | $29.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.93 / $23.93 / $23.93
| Facility | | $23.93 | $23.93 | $23.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.93 / $23.93 / $23.93
| Professional | | $23.93 | $23.93 | $23.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.16 / $19.16 / $19.16
| Facility | | $19.16 | $19.16 | $19.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $21.29 / $47.41
| Professional | | $14.34 | $21.29 | $47.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $25.99 / $332.00
| Facility | | $10.00 | $25.99 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $22.56 / $35.57
| Professional | | $16.59 | $22.56 | $35.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.75 / $15.75 / $18.05
| Facility | | $15.75 | $15.75 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $21.11 / $35.90
| Professional | | $13.02 | $21.11 | $35.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.16 / $19.16 / $19.16
| Facility | | $19.16 | $19.16 | $19.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $20.42 / $41.46
| Professional | | $15.16 | $20.42 | $41.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $16.64 / $34.54
| Professional | | $12.56 | $16.64 | $34.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.75 / $18.05 / $37.68
| Facility | | $15.75 | $18.05 | $37.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $21.11 / $42.39
| Professional | | $13.02 | $21.11 | $42.39 |