- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.05 / $14.35 / $16.29
| Facility | | $11.05 | $14.35 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $14.54 / $19.39
| Professional | | $10.86 | $14.54 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $12.65 / $14.15
| Facility | | $11.66 | $12.65 | $14.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $10.54 / $11.83
| Professional | | $10.54 | $10.54 | $11.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.69 / $17.72 / $27.38
| Professional | | $13.69 | $17.72 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.15 / $22.15 / $22.15
| Facility | | $22.15 | $22.15 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.92 / $13.30 / $13.30
| Facility | | $11.92 | $13.30 | $13.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $11.31 / $13.30
| Professional | | $11.31 | $11.31 | $13.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.21 / $105.21 / $105.21
| Facility | | $102.21 | $105.21 | $105.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.31 / $110.31 / $166.13
| Professional | | $110.31 | $110.31 | $166.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $16.01 / $22.15
| Facility | | $6.07 | $16.01 | $22.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $18.82 / $22.15
| Professional | | $7.48 | $18.82 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $15.86 / $22.15
| Facility | | $6.07 | $15.86 | $22.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $11.31 / $16.32
| Professional | | $11.31 | $11.31 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.45 / $8.61 / $10.08
| Facility | | $7.45 | $8.61 | $10.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $10.22 / $13.48
| Professional | | $7.83 | $10.22 | $13.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $22.15
| Professional | | $10.11 | $10.11 | $22.15 |