- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.49 / $12.46 / $20.63
| Facility | | $9.49 | $12.46 | $20.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $12.50 / $20.63
| Professional | | $9.49 | $12.50 | $20.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.75 / $10.93 / $28.74
| Professional | | $9.75 | $10.93 | $28.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $18.17 / $18.17
| Facility | | $16.89 | $18.17 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.17 / $18.17 / $18.17
| Professional | | $18.17 | $18.17 | $18.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.42 / $15.42 / $15.42
| Facility | | $15.42 | $15.42 | $15.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $13.11 / $19.05
| Professional | | $13.11 | $13.11 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.80 / $49.05 / $332.00
| Facility | | $21.80 | $49.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $15.70 / $38.59
| Professional | | $9.69 | $15.70 | $38.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.11 / $12.11 / $12.11
| Facility | | $12.11 | $12.11 | $12.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $15.77 / $15.77
| Professional | | $12.11 | $15.77 | $15.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.42 / $15.42 / $555.00
| Facility | | $15.42 | $15.42 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $13.11 / $32.47
| Professional | | $10.42 | $13.11 | $32.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.26 / $11.48 / $20.00
| Professional | | $7.26 | $11.48 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.61 / $15.77 / $15.77
| Facility | | $15.61 | $15.77 | $15.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $15.77 / $15.77
| Professional | | $12.11 | $15.77 | $15.77 |