- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $8.61 / $17.88
| Facility | | $8.23 | $8.61 | $17.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $8.61 / $17.88
| Professional | | $8.23 | $8.61 | $17.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $9.35 / $27.58
| Professional | | $9.35 | $9.35 | $27.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $15.76 / $15.76
| Facility | | $14.66 | $15.76 | $15.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.76 / $15.76 / $15.76
| Professional | | $15.76 | $15.76 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $12.44 / $12.44
| Facility | | $8.94 | $12.44 | $12.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $10.57 / $16.09
| Professional | | $10.57 | $10.57 | $16.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.91 / $42.55 / $332.00
| Facility | | $18.91 | $42.55 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $14.39 / $34.61
| Professional | | $9.77 | $14.39 | $34.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $6.00 / $6.00
| Facility | | $6.00 | $6.00 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $10.93 / $13.56
| Professional | | $6.00 | $10.93 | $13.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $12.44 / $555.00
| Facility | | $8.94 | $12.44 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $12.44 / $28.18
| Professional | | $10.57 | $12.44 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $10.22 / $17.34
| Professional | | $6.29 | $10.22 | $17.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $10.93 / $13.53
| Facility | | $10.93 | $10.93 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $10.93 / $11.62
| Professional | | $6.00 | $10.93 | $11.62 |