- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $16.09 / $16.80
| Facility | | $7.09 | $16.09 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.38 / $7.73 / $28.00
| Professional | | $5.38 | $7.73 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $75.00 / $80.00
| Facility | | $10.95 | $75.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.95 / $108.14
| Professional | | $8.13 | $10.95 | $108.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $7.51 / $7.51
| Facility | | $4.95 | $7.51 | $7.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $6.38 / $8.58
| Professional | | $6.38 | $6.38 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $13.24 / $23.29
| Facility | | $10.18 | $13.24 | $23.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $14.25 / $23.29
| Professional | | $10.18 | $14.25 | $23.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $9.35 / $10.28
| Professional | | $8.41 | $9.35 | $10.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $10.38 / $12.50
| Facility | | $8.44 | $10.38 | $12.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.63 / $12.50
| Professional | | $8.44 | $10.63 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $10.95 / $25.03
| Facility | | $10.38 | $10.95 | $25.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $11.84 / $22.02
| Professional | | $10.38 | $11.84 | $22.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $12.21 / $12.21
| Facility | | $11.90 | $12.21 | $12.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $10.63 / $13.13
| Professional | | $9.94 | $10.63 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $5.31 / $10.11
| Professional | | $4.90 | $5.31 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $5.93 / $6.09
| Professional | | $5.93 | $5.93 | $6.09 |