- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $9.75 / $16.30
| Facility | | $6.30 | $9.75 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.06 / $39.02
| Professional | | $8.11 | $11.06 | $39.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $9.32 / $19.20
| Professional | | $9.32 | $9.32 | $19.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $12.65 / $21.23
| Professional | | $11.12 | $12.65 | $21.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.05 / $13.05
| Facility | | $13.05 | $13.05 | $13.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $15.05 / $81.06
| Professional | | $9.13 | $15.05 | $81.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.44 / $16.86 / $23.15
| Professional | | $12.44 | $16.86 | $23.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $11.57 / $11.57
| Facility | | $11.57 | $11.57 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $482.95 / $482.95 / $482.95
| Professional | | $482.95 | $482.95 | $482.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $9.75 / $16.30
| Facility | | $6.30 | $9.75 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $14.17 / $44.33
| Professional | | $8.86 | $14.17 | $44.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $15.30 / $18.20
| Professional | | $9.80 | $15.30 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.05 / $15.93
| Facility | | $13.05 | $13.05 | $15.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.21 / $15.16 / $84.66
| Professional | | $9.21 | $15.16 | $84.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $10.77 / $19.25
| Facility | | $7.86 | $10.77 | $19.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $10.77 / $19.25
| Professional | | $7.86 | $10.77 | $19.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.97 / $12.63 / $22.64
| Professional | | $8.97 | $12.63 | $22.64 |