- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $28.63
| Facility | | $8.36 | $8.36 | $28.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $8.36 / $24.60
| Professional | | $7.68 | $8.36 | $24.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $14.64 / $46.26
| Professional | | $7.86 | $14.64 | $46.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $23.17 / $35.54
| Facility | | $19.82 | $23.17 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $22.19 / $26.42
| Professional | | $12.08 | $22.19 | $26.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $9.77 / $19.89
| Facility | | $7.14 | $9.77 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $10.01 / $20.05
| Facility | | $7.14 | $10.01 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $15.95 / $179.00
| Professional | | $8.72 | $15.95 | $179.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $12.19 / $65.00
| Professional | | $5.41 | $12.19 | $65.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $9.77 / $19.89
| Facility | | $7.14 | $9.77 | $19.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $21.75 / $43.12
| Professional | | $13.80 | $21.75 | $43.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $17.98 / $177.00
| Facility | | $10.21 | $17.98 | $177.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $39.75 / $179.00
| Professional | | $13.09 | $39.75 | $179.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.94 / $25.94 / $25.94
| Professional | | $25.94 | $25.94 | $25.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.94 / $41.96 / $52.56
| Professional | | $25.94 | $41.96 | $52.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $13.79 / $27.05
| Professional | | $8.30 | $13.79 | $27.05 |