- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $11.73 / $22.69
| Facility | | $10.44 | $11.73 | $22.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.36 / $22.69
| Professional | | $10.44 | $12.36 | $22.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $12.03 / $35.47
| Professional | | $12.03 | $12.03 | $35.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.59 / $19.98 / $19.98
| Facility | | $18.59 | $19.98 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.98 / $19.98 / $19.98
| Professional | | $19.98 | $19.98 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $15.93 / $16.41
| Facility | | $15.93 | $15.93 | $16.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $13.54 / $15.93
| Professional | | $9.78 | $13.54 | $15.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $53.98 / $332.00
| Facility | | $23.99 | $53.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $18.22 / $43.90
| Professional | | $14.15 | $18.22 | $43.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $18.22 / $18.22
| Facility | | $18.22 | $18.22 | $18.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.35 / $17.35 / $19.98
| Professional | | $17.35 | $17.35 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $15.93 / $555.00
| Facility | | $15.93 | $15.93 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $13.54 / $28.49
| Professional | | $9.78 | $13.54 | $28.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $11.97 / $21.59
| Professional | | $7.98 | $11.97 | $21.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.18 / $17.35 / $17.35
| Facility | | $17.18 | $17.35 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.35 / $17.35 / $18.22
| Professional | | $17.35 | $17.35 | $18.22 |