- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $22.78 / $71.23
| Facility | | $8.42 | $22.78 | $71.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $9.03 / $12.98
| Professional | | $7.39 | $9.03 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $9.27 / $9.27
| Professional | | $9.27 | $9.27 | $9.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $13.76 / $17.10
| Professional | | $9.57 | $13.76 | $17.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.13 / $9.13 / $9.88
| Facility | | $9.13 | $9.13 | $9.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.16 / $11.16 / $11.16
| Facility | | $11.16 | $11.16 | $11.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.45 / $20.38
| Professional | | $7.83 | $11.45 | $20.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.84 / $70.00 / $70.00
| Facility | | $22.84 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.94 / $63.94 / $78.30
| Professional | | $63.94 | $63.94 | $78.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $9.73 / $18.26
| Facility | | $7.88 | $9.73 | $18.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $15.48 / $22.84
| Professional | | $11.96 | $15.48 | $22.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $11.80 / $20.90
| Professional | | $6.62 | $11.80 | $20.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $9.77 / $18.42
| Facility | | $7.88 | $9.77 | $18.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $12.65 / $26.57
| Professional | | $8.23 | $12.65 | $26.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $10.83 / $18.41
| Professional | | $8.30 | $10.83 | $18.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.01 / $9.22 / $12.73
| Professional | | $8.01 | $9.22 | $12.73 |