- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.63 / $8.71 / $20.82
| Facility | | $6.63 | $8.71 | $20.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $10.23 / $23.63
| Professional | | $5.78 | $10.23 | $23.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $4.48 / $16.78
| Professional | | $3.53 | $4.48 | $16.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $9.07 / $9.07
| Facility | | $8.44 | $9.07 | $9.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.07 / $9.07 / $9.07
| Professional | | $9.07 | $9.07 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $12.67 / $12.67
| Facility | | $12.67 | $12.67 | $12.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $4.41 / $4.41
| Professional | | $4.41 | $4.41 | $4.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $19.78 / $332.00
| Facility | | $10.81 | $19.78 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $14.64 / $23.46
| Professional | | $11.35 | $14.64 | $23.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $16.12
| Facility | | $16.12 | $16.12 | $16.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.07 / $17.13 / $17.13
| Professional | | $9.07 | $17.13 | $17.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $12.67 / $597.00
| Facility | | $12.67 | $12.67 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $4.41 / $18.52
| Professional | | $4.41 | $4.41 | $18.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $6.49 / $11.69
| Professional | | $3.60 | $6.49 | $11.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $16.12
| Facility | | $16.12 | $16.12 | $16.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $16.12 / $17.13
| Professional | | $16.12 | $16.12 | $17.13 |