- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $18.68 / $37.58
| Facility | | $10.36 | $18.68 | $37.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.01 / $17.86 / $25.77
| Professional | | $10.01 | $17.86 | $25.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.21 / $24.64 / $24.90
| Facility | | $13.21 | $24.64 | $24.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $18.80 / $27.02
| Professional | | $10.54 | $18.80 | $27.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $16.57 / $16.57
| Facility | | $16.57 | $16.57 | $16.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $22.07 / $36.49
| Professional | | $12.23 | $22.07 | $36.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.02 / $60.47 / $60.47
| Facility | | $56.02 | $60.47 | $60.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $236.00 / $250.96 / $250.96
| Professional | | $236.00 | $250.96 | $250.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $21.05 / $38.53
| Facility | | $11.63 | $21.05 | $38.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.96 / $27.53 / $43.09
| Professional | | $14.96 | $27.53 | $43.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $21.54 / $27.02
| Professional | | $11.75 | $21.54 | $27.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $21.05 / $38.74
| Facility | | $11.63 | $21.05 | $38.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.75 / $24.08 / $45.29
| Professional | | $12.75 | $24.08 | $45.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $24.34 / $35.86
| Professional | | $17.64 | $24.34 | $35.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.43 / $23.93 / $32.47
| Professional | | $20.43 | $23.93 | $32.47 |