- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $8.91
| Facility | | $8.91 | $8.91 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $12.02
| Professional | | $7.94 | $10.00 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $14.79 / $47.86
| Professional | | $10.47 | $14.79 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $33.88 / $53.70
| Facility | | $28.84 | $33.88 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $15.14 / $45.71
| Professional | | $9.55 | $15.14 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $11.75 / $29.51
| Facility | | $9.77 | $11.75 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $21.88 / $29.51
| Professional | | $12.59 | $21.88 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $11.75 / $29.51
| Facility | | $9.77 | $11.75 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $14.13 / $52.48
| Professional | | $9.12 | $14.13 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $25.12 / $37.15
| Professional | | $16.98 | $25.12 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $79.43
| Facility | | $19.95 | $19.95 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $69.18
| Professional | | $9.55 | $9.55 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $13.18
| Professional | | $13.18 | $13.18 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $24.55 / $29.51
| Professional | | $11.75 | $24.55 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $11.75
| Facility | | $11.75 | $11.75 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.88 / $37.15
| Professional | | $8.91 | $12.88 | $37.15 |