- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.68 / $17.43 / $18.20
| Facility | | $7.68 | $17.43 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $8.65 / $39.14
| Professional | | $3.98 | $8.65 | $39.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $9.50 / $13.57
| Professional | | $8.82 | $9.50 | $13.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $80.00 / $80.00
| Facility | | $11.88 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.88 / $67.58
| Professional | | $9.00 | $11.88 | $67.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.40 / $8.15 / $8.15
| Facility | | $5.40 | $8.15 | $8.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $6.93 / $9.31
| Professional | | $6.93 | $6.93 | $9.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $14.34 / $24.70
| Facility | | $11.03 | $14.34 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $15.27 / $24.82
| Professional | | $11.03 | $15.27 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $10.39 / $11.42
| Professional | | $9.35 | $10.39 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.76 / $11.53 / $13.57
| Facility | | $10.76 | $11.53 | $13.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $12.21 / $13.57
| Professional | | $11.53 | $12.21 | $13.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $11.88 / $21.97
| Facility | | $11.26 | $11.88 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $12.85 / $19.48
| Professional | | $11.26 | $12.85 | $19.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.77 / $11.53 / $14.93
| Professional | | $10.77 | $11.53 | $14.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $5.76 / $10.97
| Professional | | $5.32 | $5.76 | $10.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $8.33 / $8.33
| Professional | | $6.52 | $8.33 | $8.33 |