- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.06 / $15.85 / $20.60
| Facility | | $12.06 | $15.85 | $20.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $13.70 / $19.98
| Professional | | $9.46 | $13.70 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.15 / $30.54
| Professional | | $6.42 | $8.15 | $30.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.35 / $16.51 / $16.51
| Facility | | $15.35 | $16.51 | $16.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.51 / $16.51 / $16.51
| Professional | | $16.51 | $16.51 | $16.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.06 / $23.06 / $23.06
| Facility | | $23.06 | $23.06 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.02 / $8.02
| Professional | | $8.02 | $8.02 | $8.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.68 / $36.01 / $332.00
| Facility | | $19.68 | $36.01 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.66 / $26.65 / $42.71
| Professional | | $20.66 | $26.65 | $42.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $15.27
| Facility | | $15.27 | $15.27 | $15.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.27 / $16.23 / $16.51
| Professional | | $15.27 | $16.23 | $16.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.06 / $23.06 / $597.00
| Facility | | $23.06 | $23.06 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $8.02 / $33.70
| Professional | | $7.50 | $8.02 | $33.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $11.24 / $24.41
| Professional | | $6.54 | $11.24 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $16.37
| Facility | | $15.27 | $15.27 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $16.23
| Professional | | $15.27 | $15.27 | $16.23 |