- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.80 / $13.91 / $15.30
| Facility | | $11.80 | $13.91 | $15.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $15.30 / $56.38
| Professional | | $11.42 | $15.30 | $56.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.96 / $28.76 / $75.38
| Professional | | $13.96 | $28.76 | $75.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $14.38 / $16.22
| Facility | | $12.39 | $14.38 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.63 / $16.30 / $31.70
| Professional | | $12.63 | $16.30 | $31.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.73 / $16.57 / $40.00
| Professional | | $11.73 | $16.57 | $40.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $17.89
| Facility | | $16.98 | $16.98 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.76 / $19.87 / $43.78
| Professional | | $14.76 | $19.87 | $43.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.14 / $17.35 / $23.42
| Professional | | $14.14 | $17.35 | $23.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.67 / $16.80 / $29.65
| Professional | | $12.67 | $16.80 | $29.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.52 / $62.32 / $62.32
| Facility | | $57.52 | $62.32 | $62.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.58 / $93.56 / $93.56
| Professional | | $80.58 | $93.56 | $93.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $16.52 / $23.87
| Facility | | $11.97 | $16.52 | $23.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.54 / $23.61 / $39.53
| Professional | | $15.54 | $23.61 | $39.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.93 / $33.93 / $39.74
| Professional | | $33.93 | $33.93 | $39.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $17.23 / $17.23
| Facility | | $17.23 | $17.23 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $16.23 / $36.90
| Professional | | $12.04 | $16.23 | $36.90 |