- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $26.58 / $77.52
| Facility | | $10.14 | $26.58 | $77.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.05 / $9.93 / $16.10
| Professional | | $8.05 | $9.93 | $16.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $6.44 / $6.44
| Professional | | $6.44 | $6.44 | $6.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $43.75 / $79.18
| Facility | | $16.48 | $43.75 | $79.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.11 / $11.94
| Professional | | $5.00 | $7.11 | $11.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.08 / $12.08 / $13.42
| Facility | | $12.08 | $12.08 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $26.60 / $60.41
| Facility | | $9.36 | $26.60 | $60.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $8.86 / $20.65
| Professional | | $7.11 | $8.86 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $70.00
| Facility | | $50.00 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $13.42 / $17.45
| Facility | | $10.19 | $13.42 | $17.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $13.42 / $14.85
| Professional | | $12.53 | $13.42 | $14.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $13.42 / $31.25
| Facility | | $10.19 | $13.42 | $31.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $9.22 / $17.18
| Professional | | $7.11 | $9.22 | $17.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $13.42 / $16.10
| Facility | | $7.04 | $13.42 | $16.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $6.93 / $12.57
| Professional | | $5.64 | $6.93 | $12.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $5.92 / $13.42
| Professional | | $5.23 | $5.92 | $13.42 |