- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $8.69 / $9.86
| Facility | | $6.70 | $8.69 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $8.81 / $11.75
| Professional | | $6.58 | $8.81 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $8.52 / $8.52
| Professional | | $8.52 | $8.52 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $12.50 / $36.72
| Facility | | $7.67 | $12.50 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $6.39 / $7.17
| Professional | | $6.39 | $6.39 | $7.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $10.73 / $16.59
| Professional | | $8.36 | $10.73 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $217.90 / $217.90
| Facility | | $13.41 | $217.90 | $217.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $8.07 / $8.66
| Facility | | $8.07 | $8.07 | $8.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $8.53
| Professional | | $6.86 | $6.86 | $8.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.78 / $66.78 / $100.58
| Professional | | $66.78 | $66.78 | $100.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $9.86 / $13.41
| Facility | | $3.68 | $9.86 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $12.07 / $13.41
| Professional | | $8.21 | $12.07 | $13.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $9.61 / $13.41
| Facility | | $3.68 | $9.61 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $11.16
| Professional | | $6.86 | $6.86 | $11.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.19 / $8.17
| Professional | | $4.75 | $6.19 | $8.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.73 / $6.73 / $13.41
| Professional | | $6.73 | $6.73 | $13.41 |