- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $28.24 / $31.70
| Facility | | $14.34 | $28.24 | $31.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.26 / $14.48 / $28.45
| Professional | | $14.26 | $14.48 | $28.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.73 / $22.91 / $54.03
| Facility | | $14.73 | $22.91 | $54.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.12 / $14.34 / $31.04
| Professional | | $14.12 | $14.34 | $31.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.95 / $24.58 / $34.32
| Facility | | $21.95 | $24.58 | $34.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.61 / $14.61 / $37.24
| Professional | | $14.61 | $14.61 | $37.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $14.34
| Facility | | $13.53 | $13.53 | $14.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $14.34 / $14.34
| Professional | | $14.34 | $14.34 | $14.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $17.21 / $32.50
| Professional | | $12.91 | $17.21 | $32.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.53 / $14.34 / $20.21
| Facility | | $13.53 | $14.34 | $20.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $14.34 / $31.02
| Professional | | $14.34 | $14.34 | $31.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $19.32 / $19.32
| Professional | | $19.32 | $19.32 | $19.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $15.77 / $24.37
| Professional | | $11.47 | $15.77 | $24.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $14.34 / $30.54
| Professional | | $14.34 | $14.34 | $30.54 |