- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.71 / $22.04 / $386.91
| Facility | | $9.71 | $22.04 | $386.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $9.71 / $38.00
| Professional | | $5.03 | $9.71 | $38.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.01 / $80.00 / $80.00
| Facility | | $15.01 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $15.14 / $85.36
| Professional | | $12.00 | $15.14 | $85.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.40 / $10.29 / $10.29
| Facility | | $5.40 | $10.29 | $10.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $12.19
| Professional | | $8.75 | $8.75 | $12.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $18.16 / $31.76
| Facility | | $14.00 | $18.16 | $31.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $19.34 / $31.76
| Professional | | $14.00 | $19.34 | $31.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $13.13 / $14.44
| Professional | | $11.81 | $13.13 | $14.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $16.73 / $17.14
| Facility | | $13.60 | $16.73 | $17.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $17.14 / $17.14
| Professional | | $13.61 | $17.14 | $17.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $15.01 / $27.75
| Facility | | $14.23 | $15.01 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.23 / $16.23 / $24.64
| Professional | | $14.23 | $16.23 | $24.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $14.57 / $18.85
| Professional | | $13.61 | $14.57 | $18.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $7.27 / $13.87
| Professional | | $6.71 | $7.27 | $13.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $7.72
| Professional | | $6.61 | $6.61 | $7.72 |