- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.66 / $12.11 / $61.49
| Facility | | $10.66 | $12.11 | $61.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $9.47 / $12.51
| Professional | | $7.64 | $9.47 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $16.02 / $90.00
| Professional | | $7.83 | $16.02 | $90.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $43.90 / $43.90
| Facility | | $13.14 | $43.90 | $43.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $13.60 / $77.18
| Professional | | $8.88 | $13.60 | $77.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $12.54 / $27.90
| Professional | | $7.00 | $12.54 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.82 / $10.54 / $20.68
| Facility | | $7.82 | $10.54 | $20.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $10.50 / $18.50
| Professional | | $7.82 | $10.50 | $18.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $9.54 / $29.65
| Professional | | $7.27 | $9.54 | $29.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.32 / $18.76 / $20.77
| Facility | | $12.32 | $18.76 | $20.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $13.14
| Facility | | $13.14 | $13.14 | $13.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $19.78 / $26.24
| Professional | | $13.43 | $19.78 | $26.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.79 / $63.79 / $97.86
| Facility | | $63.79 | $63.79 | $97.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $11.60 / $15.04
| Professional | | $8.69 | $11.60 | $15.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $13.25 / $27.68
| Professional | | $8.58 | $13.25 | $27.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $10.01 / $11.19
| Professional | | $8.83 | $10.01 | $11.19 |