- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.52 / $10.61 / $40.18
| Facility | | $9.52 | $10.61 | $40.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $9.73 / $12.32
| Professional | | $7.86 | $9.73 | $12.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $10.55 / $29.96
| Professional | | $8.08 | $10.55 | $29.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.03 / $31.59 / $48.46
| Facility | | $27.03 | $31.59 | $48.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $22.32 / $38.81
| Professional | | $8.00 | $22.32 | $38.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $10.46 / $14.03
| Facility | | $8.84 | $10.46 | $14.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $10.46 / $14.30
| Facility | | $8.57 | $10.46 | $14.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.34 / $19.69 / $63.27
| Professional | | $8.34 | $19.69 | $63.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.03 / $58.40 / $85.00
| Professional | | $15.03 | $58.40 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $10.46 / $14.03
| Facility | | $8.84 | $10.46 | $14.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $18.10 / $31.16
| Professional | | $11.51 | $18.10 | $31.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.58 / $22.58 / $22.58
| Facility | | $22.58 | $22.58 | $22.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $44.91 / $63.27
| Professional | | $8.00 | $44.91 | $63.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $33.25 / $36.77
| Professional | | $10.78 | $33.25 | $36.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $16.55 / $45.67
| Professional | | $8.10 | $16.55 | $45.67 |