- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.15 / $16.23 / $16.95
| Facility | | $7.15 | $16.23 | $16.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.43 / $7.15 / $17.14
| Professional | | $5.43 | $7.15 | $17.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $80.00 / $80.00
| Facility | | $11.06 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.15 / $62.90
| Professional | | $9.00 | $11.15 | $62.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $8.03
| Facility | | $7.59 | $7.59 | $8.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $6.45 / $8.93
| Professional | | $6.45 | $6.45 | $8.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.28 / $12.73 / $22.06
| Facility | | $7.28 | $12.73 | $22.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $12.79 / $23.17
| Professional | | $7.44 | $12.79 | $23.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $9.69 / $10.65
| Professional | | $8.72 | $9.69 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $12.33 / $12.63
| Facility | | $11.33 | $12.33 | $12.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $12.63 / $12.63
| Professional | | $11.04 | $12.63 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.48 / $11.06 / $20.44
| Facility | | $10.48 | $11.06 | $20.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $11.96 / $18.14
| Professional | | $10.48 | $11.96 | $18.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $10.74 / $13.89
| Professional | | $10.03 | $10.74 | $13.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $5.36 / $10.22
| Professional | | $4.95 | $5.36 | $10.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $7.51 / $7.51
| Professional | | $6.33 | $7.51 | $7.51 |