- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $13.41 / $13.41
| Facility | | $8.02 | $13.41 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $8.61 / $10.59
| Professional | | $7.14 | $8.61 | $10.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $14.10 / $30.30
| Professional | | $8.44 | $14.10 | $30.30 |
- 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 / $24.61
| Professional | | $7.74 | $11.91 | $24.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $8.88 / $17.37
| Facility | | $7.95 | $8.88 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $10.82 / $10.82
| Professional | | $10.82 | $10.82 | $10.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $8.88 / $17.37
| Facility | | $7.47 | $8.88 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $20.41 / $69.31
| Professional | | $10.29 | $20.41 | $69.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.15 / $58.40 / $85.00
| Professional | | $25.15 | $58.40 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $8.88 / $17.37
| Facility | | $7.95 | $8.88 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $10.82 / $10.82
| Professional | | $10.82 | $10.82 | $10.82 |
- 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
- $16.39 / $17.43 / $80.00
| Facility | | $16.39 | $17.43 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $44.95 / $69.31
| Professional | | $7.74 | $44.95 | $69.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.17 / $26.63 / $30.63
| Professional | | $12.17 | $26.63 | $30.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $18.20 / $33.71
| Professional | | $9.85 | $18.20 | $33.71 |