- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.04 / $30.06 / $39.46
| Facility | | $15.04 | $30.06 | $39.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $15.19 / $39.46
| Professional | | $15.04 | $15.19 | $39.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $24.02 / $53.85
| Facility | | $1.75 | $24.02 | $53.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $2.46 / $23.58
| Professional | | $1.50 | $2.46 | $23.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $18.00 / $34.56
| Facility | | $15.30 | $18.00 | $34.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $43.13
| Professional | | $15.32 | $15.32 | $43.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.19 / $14.19 / $15.04
| Facility | | $14.19 | $14.19 | $15.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $15.04 / $15.04
| Professional | | $15.04 | $15.04 | $15.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $18.05 / $34.59
| Professional | | $13.54 | $18.05 | $34.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.19 / $15.04 / $21.51
| Facility | | $14.19 | $15.04 | $21.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $15.04 / $32.53
| Professional | | $15.04 | $15.04 | $32.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.81 / $26.81 / $26.81
| Professional | | $26.81 | $26.81 | $26.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $16.55 / $25.57
| Professional | | $12.03 | $16.55 | $25.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $15.04 / $33.13
| Professional | | $15.04 | $15.04 | $33.13 |