- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.71 / $10.18 / $16.94
| Facility | | $6.71 | $10.18 | $16.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $8.99 / $15.22
| Professional | | $6.72 | $8.99 | $15.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $8.68 / $13.73
| Professional | | $8.68 | $8.68 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $7.83 / $15.65
| Professional | | $6.38 | $7.83 | $15.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $13.67 / $13.67
| Facility | | $13.67 | $13.67 | $13.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $13.67 / $13.67
| Professional | | $13.67 | $13.67 | $13.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $10.79 / $10.79
| Facility | | $10.79 | $10.79 | $10.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $11.35 / $26.25
| Professional | | $7.79 | $11.35 | $26.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $17.30 / $332.00
| Facility | | $10.00 | $17.30 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $13.05 / $20.65
| Professional | | $9.47 | $13.05 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.13 / $9.13 / $10.11
| Facility | | $9.13 | $9.13 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $12.23 / $20.10
| Professional | | $7.29 | $12.23 | $20.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $9.11 / $10.92
| Professional | | $9.11 | $9.11 | $10.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $10.79 / $10.79
| Facility | | $10.79 | $10.79 | $10.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $11.25 / $22.50
| Professional | | $8.40 | $11.25 | $22.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $9.23 / $18.47
| Professional | | $6.91 | $9.23 | $18.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.13 / $10.11 / $19.87
| Facility | | $9.13 | $10.11 | $19.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.80 / $23.74
| Professional | | $7.72 | $11.80 | $23.74 |