- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $15.70 / $24.48
| Professional | | $11.92 | $15.70 | $24.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.69 / $14.90 / $16.48
| Professional | | $14.69 | $14.90 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $16.07 / $36.63
| Professional | | $12.94 | $16.07 | $36.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.54 / $20.54 / $20.54
| Facility | | $20.54 | $20.54 | $20.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.54 / $20.54 / $22.45
| Professional | | $20.54 | $20.54 | $22.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.17 / $23.17 / $23.17
| Facility | | $23.17 | $23.17 | $23.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $18.37 / $46.60
| Professional | | $10.25 | $18.37 | $46.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.16 / $10.16 / $10.16
| Facility | | $10.16 | $10.16 | $10.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.53 / $19.45 / $31.42
| Professional | | $15.53 | $19.45 | $31.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $14.48 / $27.47
| Professional | | $11.96 | $14.48 | $27.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.48 / $17.48 / $20.34
| Professional | | $17.48 | $17.48 | $20.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.17 / $18.75 / $18.96
| Professional | | $17.17 | $18.75 | $18.96 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $18.79 / $18.79 / $18.79
| Professional | 50 | $18.79 | $18.79 | $18.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.17 / $23.17 / $23.17
| Facility | | $23.17 | $23.17 | $23.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $18.55 / $41.72
| Professional | | $11.05 | $18.55 | $41.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $14.23 / $30.83
| Professional | | $10.29 | $14.23 | $30.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $17.14 / $32.86
| Professional | | $11.96 | $17.14 | $32.86 |