- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $9.43 / $18.26
| Facility | | $8.40 | $9.43 | $18.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $9.47 / $18.26
| Professional | | $8.27 | $9.47 | $18.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $11.79 / $31.17
| Professional | | $9.67 | $11.79 | $31.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $16.09 / $16.09
| Facility | | $14.96 | $16.09 | $16.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.09 / $16.09 / $16.09
| Professional | | $16.09 | $16.09 | $16.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $11.60 / $14.33
| Facility | | $11.60 | $11.60 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $14.33
| Professional | | $9.86 | $9.86 | $14.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.30 / $43.45 / $332.00
| Facility | | $19.30 | $43.45 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $17.77 / $34.18
| Professional | | $11.04 | $17.77 | $34.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.01 / $1.01 / $1.01
| Facility | | $1.01 | $1.01 | $1.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.01 / $13.95 / $13.95
| Professional | | $1.01 | $13.95 | $13.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.78 / $15.78 / $15.78
| Professional | | $15.78 | $15.78 | $15.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $11.60 / $555.00
| Facility | | $11.60 | $11.60 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $11.84 / $28.13
| Professional | | $9.86 | $11.84 | $28.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $9.64 / $16.64
| Professional | | $6.42 | $9.64 | $16.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.81 / $13.95 / $13.95
| Facility | | $13.81 | $13.95 | $13.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.01 / $13.95 / $13.95
| Professional | | $1.01 | $13.95 | $13.95 |