- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.27 / $9.44 / $10.72
| Facility | | $7.27 | $9.44 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $9.57 / $14.69
| Professional | | $7.85 | $9.57 | $14.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.31 / $17.80 / $41.05
| Facility | | $8.31 | $17.80 | $41.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.78 / $7.78 / $7.78
| Professional | | $7.78 | $7.78 | $7.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.66 / $18.00
| Professional | | $9.00 | $11.66 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $14.57
| Facility | | $14.57 | $14.57 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $12.72
| Facility | | $10.29 | $10.29 | $12.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $12.72
| Professional | | $8.75 | $8.75 | $12.72 |
- 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
- $85.36 / $85.36 / $128.55
| Professional | | $85.36 | $85.36 | $128.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $10.93 / $14.59
| Facility | | $4.69 | $10.93 | $14.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $13.14 / $14.57
| Professional | | $5.79 | $13.14 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $10.42 / $14.57
| Facility | | $4.69 | $10.42 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $13.16
| Professional | | $8.75 | $8.75 | $13.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $7.90 / $10.42
| Professional | | $6.06 | $7.90 | $10.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $7.82 / $14.57
| Professional | | $7.82 | $7.82 | $14.57 |