- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $20.29 / $21.19
| Facility | | $8.94 | $20.29 | $21.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $8.94 / $21.42
| Professional | | $6.79 | $8.94 | $21.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $80.00 / $80.00
| Facility | | $13.82 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $13.94 / $78.58
| Professional | | $11.05 | $13.94 | $78.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $9.49 / $9.49
| Facility | | $8.10 | $9.49 | $9.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $8.07 / $11.17
| Professional | | $8.07 | $8.07 | $11.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $15.91 / $26.79
| Facility | | $9.11 | $15.91 | $26.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $15.99 / $28.25
| Professional | | $9.30 | $15.99 | $28.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.78 / $60.00 / $85.00
| Professional | | $15.78 | $60.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $15.41 / $15.78
| Facility | | $12.51 | $15.41 | $15.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.78 / $15.78 / $17.36
| Professional | | $13.78 | $15.78 | $17.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $13.82 / $25.55
| Facility | | $13.10 | $13.82 | $25.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.10 / $14.95 / $22.68
| Professional | | $13.10 | $14.95 | $22.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $13.41 / $17.36
| Professional | | $12.53 | $13.41 | $17.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $6.70 / $12.78
| Professional | | $6.19 | $6.70 | $12.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $9.25 / $9.25
| Professional | | $7.91 | $9.25 | $9.25 |