- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.13 / $12.36 / $20.26
| Facility | | $10.13 | $12.36 | $20.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $10.23 / $21.41
| Professional | | $10.14 | $10.23 | $21.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $10.14
| Facility | | $8.11 | $8.11 | $10.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $10.14 / $13.66
| Professional | | $9.08 | $10.14 | $13.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $9.05 / $9.50
| Facility | | $9.05 | $9.05 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $9.05 / $9.05
| Professional | | $9.05 | $9.05 | $9.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $9.57 / $10.14
| Facility | | $8.91 | $9.57 | $10.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $10.14 / $10.14
| Professional | | $10.14 | $10.14 | $10.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $14.36 / $332.00
| Facility | | $9.57 | $14.36 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $10.52 / $14.79
| Professional | | $10.52 | $10.52 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $10.14 / $10.52
| Facility | | $10.14 | $10.14 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $10.14 / $10.52
| Professional | | $10.14 | $10.14 | $10.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $9.57 / $555.00
| Facility | | $8.91 | $9.57 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $10.14 / $13.11
| Professional | | $9.77 | $10.14 | $13.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $10.14 / $14.20
| Professional | | $10.14 | $10.14 | $14.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $10.52 / $10.52
| Facility | | $10.52 | $10.52 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $10.14 / $10.52
| Professional | | $6.77 | $10.14 | $10.52 |