- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $20.77 / $21.69
| Facility | | $9.15 | $20.77 | $21.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $9.15 / $21.69
| Professional | | $7.37 | $9.15 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.15 / $80.00 / $80.00
| Facility | | $14.15 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $14.15 / $85.36
| Professional | | $11.43 | $14.15 | $85.36 |
- 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 / $13.16
| Professional | | $8.75 | $8.75 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $17.98 / $31.76
| Facility | | $14.00 | $17.98 | $31.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $18.97 / $31.76
| Professional | | $14.00 | $18.97 | $31.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $12.38 / $13.61
| Professional | | $11.14 | $12.38 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $15.36 / $17.14
| Facility | | $14.23 | $15.36 | $17.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $15.35 / $17.14
| Professional | | $14.57 | $15.35 | $17.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $14.15 / $26.16
| Facility | | $13.41 | $14.15 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $14.61 / $23.22
| Professional | | $13.41 | $14.61 | $23.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $13.74 / $17.78
| Professional | | $12.83 | $13.74 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $7.27 / $13.87
| Professional | | $6.71 | $7.27 | $13.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $6.24 / $7.82
| Professional | | $6.24 | $6.24 | $7.82 |