- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.93 / $7.46 / $15.08
| Facility | | $6.93 | $7.46 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $7.48 / $15.08
| Professional | | $6.67 | $7.48 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $10.99 / $21.01
| Professional | | $7.97 | $10.99 | $21.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $13.28 / $13.28
| Facility | | $12.35 | $13.28 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.28 / $13.28 / $13.28
| Professional | | $13.28 | $13.28 | $13.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.78 / $10.78 / $10.78
| Facility | | $10.78 | $10.78 | $10.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $9.16 / $13.31
| Professional | | $9.16 | $9.16 | $13.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $35.84 / $332.00
| Facility | | $15.93 | $35.84 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $13.88 / $28.20
| Professional | | $9.40 | $13.88 | $28.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $12.07 / $12.07
| Facility | | $12.07 | $12.07 | $12.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $11.50 / $13.28
| Professional | | $11.50 | $11.50 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $8.09 / $8.09
| Professional | | $8.09 | $8.09 | $8.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.78 / $10.78 / $555.00
| Facility | | $10.78 | $10.78 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $10.57 / $23.74
| Professional | | $9.16 | $10.57 | $23.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $8.19 / $14.58
| Professional | | $5.30 | $8.19 | $14.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $11.50 / $11.50
| Facility | | $11.39 | $11.50 | $11.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $11.50 / $12.07
| Professional | | $11.50 | $11.50 | $12.07 |