- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $9.34 / $25.10
| Facility | | $9.34 | $9.34 | $25.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.34 / $24.30
| Professional | | $9.33 | $9.34 | $24.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $16.68 / $37.38
| Facility | | $9.89 | $16.68 | $37.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $10.99 / $28.04
| Professional | | $9.40 | $10.99 | $28.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $10.44 / $19.25
| Facility | | $9.34 | $10.44 | $19.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $10.44 / $26.71
| Professional | | $10.44 | $10.44 | $26.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $10.33
| Facility | | $10.33 | $10.33 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $10.33
| Professional | | $10.33 | $10.33 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $21.00 / $393.93
| Professional | | $15.00 | $21.00 | $393.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.29 / $90.00 / $100.00
| Facility | | $13.29 | $90.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $13.36
| Facility | | $10.33 | $10.33 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $10.33
| Professional | | $10.33 | $10.33 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.05 / $17.05 / $17.05
| Professional | | $17.05 | $17.05 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $13.57 / $17.75
| Professional | | $10.44 | $13.57 | $17.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $11.80 / $22.27
| Professional | | $10.99 | $11.80 | $22.27 |