- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $10.19 / $12.85
| Facility | | $8.52 | $10.19 | $12.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $11.20 / $14.75
| Professional | | $9.32 | $11.20 | $14.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $11.72 / $11.72
| Professional | | $11.06 | $11.72 | $11.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.48 / $32.94 / $61.00
| Facility | | $13.48 | $32.94 | $61.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $12.24 / $17.94
| Professional | | $9.81 | $12.24 | $17.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $13.39 / $15.37
| Professional | | $10.71 | $13.39 | $15.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $10.97 / $11.44
| Facility | | $10.97 | $10.97 | $11.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $13.27 / $21.08
| Professional | | $10.60 | $13.27 | $21.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.36 / $70.00 / $100.00
| Facility | | $25.36 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.50 / $70.50 / $92.93
| Professional | | $70.50 | $70.50 | $92.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $11.35 / $15.51
| Facility | | $9.57 | $11.35 | $15.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $14.30 / $19.80
| Professional | | $12.10 | $14.30 | $19.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $11.28 / $15.51
| Facility | | $9.55 | $11.28 | $15.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $13.65 / $22.78
| Professional | | $10.60 | $13.65 | $22.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.18 / $12.73 / $19.34
| Professional | | $9.18 | $12.73 | $19.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $10.71 / $14.93
| Professional | | $9.39 | $10.71 | $14.93 |