- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $14.78 / $20.81
| Facility | | $10.47 | $14.78 | $20.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $11.82 / $23.03
| Professional | | $10.16 | $11.82 | $23.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $11.37 / $23.11
| Professional | | $9.35 | $11.37 | $23.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $16.05 / $16.05
| Facility | | $16.05 | $16.05 | $16.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.05 / $16.05 / $16.05
| Professional | | $16.05 | $16.05 | $16.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.80 / $12.80 / $12.80
| Facility | | $12.80 | $12.80 | $12.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $14.03 / $36.49
| Professional | | $8.25 | $14.03 | $36.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $15.97 / $332.00
| Facility | | $9.10 | $15.97 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $17.91 / $26.80
| Professional | | $12.64 | $17.91 | $26.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $10.66 / $11.19
| Facility | | $9.33 | $10.66 | $11.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $14.18 / $19.57
| Professional | | $9.33 | $14.18 | $19.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.80 / $12.80 / $74,999.25
| Facility | | $12.80 | $12.80 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $14.94 / $34.97
| Professional | | $9.86 | $14.94 | $34.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $13.28 / $29.55
| Professional | | $10.11 | $13.28 | $29.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.66 / $15.79 / $15.79
| Facility | | $10.66 | $15.79 | $15.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $15.41 / $27.05
| Professional | | $10.54 | $15.41 | $27.05 |