- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.57 / $16.53 / $43.30
| Facility | | $12.57 | $16.53 | $43.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $16.39 / $37.60
| Professional | | $10.95 | $16.39 | $37.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $8.50 / $31.84
| Professional | | $6.70 | $8.50 | $31.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.01 / $17.21 / $17.21
| Facility | | $16.01 | $17.21 | $17.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $17.21
| Professional | | $17.21 | $17.21 | $17.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.04 / $24.04 / $24.04
| Facility | | $24.04 | $24.04 | $24.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $8.36
| Professional | | $8.36 | $8.36 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.51 / $37.53 / $332.00
| Facility | | $20.51 | $37.53 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.54 / $27.77 / $44.51
| Professional | | $21.54 | $27.77 | $44.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.09 / $33.09 / $33.09
| Facility | | $33.09 | $33.09 | $33.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.21 / $35.15 / $35.15
| Professional | | $17.21 | $35.15 | $35.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.04 / $24.04 / $597.00
| Facility | | $24.04 | $24.04 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $35.14
| Professional | | $8.36 | $8.36 | $35.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $12.00 / $22.66
| Professional | | $6.82 | $12.00 | $22.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.09 / $33.09 / $35.52
| Facility | | $33.09 | $33.09 | $35.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.09 / $33.09 / $35.15
| Professional | | $33.09 | $33.09 | $35.15 |