- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $13.45 / $13.45
| Facility | | $8.03 | $13.45 | $13.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $8.42 / $13.83
| Professional | | $6.89 | $8.42 | $13.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.46 / $13.19 / $36.04
| Professional | | $8.46 | $13.19 | $36.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.53 / $26.33 / $34.99
| Facility | | $22.53 | $26.33 | $34.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $11.91 / $25.18
| Professional | | $7.74 | $11.91 | $25.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $9.24 / $16.52
| Facility | | $7.48 | $9.24 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $7.11 / $7.11
| Professional | | $7.11 | $7.11 | $7.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $9.24 / $17.42
| Facility | | $7.43 | $9.24 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.75 / $17.37 / $52.65
| Professional | | $9.75 | $17.37 | $52.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.06 / $65.00 / $85.00
| Professional | | $28.06 | $65.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $9.24 / $17.42
| Facility | | $7.48 | $9.24 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $7.11 / $7.11
| Professional | | $7.11 | $7.11 | $7.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $20.51 / $28.60
| Professional | | $13.09 | $20.51 | $28.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.01 / $16.66 / $80.00
| Facility | | $10.01 | $16.66 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $45.05 / $52.65
| Professional | | $7.74 | $45.05 | $52.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.17 / $47.55 / $59.61
| Professional | | $27.17 | $47.55 | $59.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $18.64 / $34.79
| Professional | | $9.85 | $18.64 | $34.79 |