- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.14 / $23.12 / $294.56
| Facility | | $11.14 | $23.12 | $294.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $11.14 / $37.00
| Professional | | $7.90 | $11.14 | $37.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $12.51 / $14.47
| Professional | | $7.82 | $12.51 | $14.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.19 / $50.00 / $100.00
| Facility | | $16.19 | $50.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $19.00 / $77.12
| Professional | | $11.09 | $19.00 | $77.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $15.08 / $26.37
| Professional | | $8.96 | $15.08 | $26.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.68 / $10.87 / $19.98
| Facility | | $7.68 | $10.87 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $10.93 / $19.98
| Professional | | $7.68 | $10.93 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.92 / $6.72
| Professional | | $4.20 | $4.92 | $6.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $15.78 / $16.38
| Facility | | $11.96 | $15.78 | $16.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.87 / $10.87 / $10.97
| Facility | | $10.87 | $10.87 | $10.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.33 / $17.96 / $21.77
| Professional | | $12.33 | $17.96 | $21.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $14.75 / $19.92
| Professional | | $11.09 | $14.75 | $19.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $12.97 / $23.62
| Professional | | $9.60 | $12.97 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $8.38 / $8.38
| Professional | | $6.62 | $8.38 | $8.38 |