- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $23.44 / $38.02
| Facility | | $17.38 | $23.44 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $30.20
| Professional | | $10.96 | $10.96 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $13.18 / $29.51
| Facility | | $11.48 | $13.18 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $11.48 / $23.44
| Professional | | $10.96 | $11.48 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $12.88 / $23.99
| Facility | | $10.72 | $12.88 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $14.45 / $33.88
| Professional | | $11.22 | $14.45 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $11.22
| Facility | | $10.47 | $10.47 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $11.22
| Professional | | $11.22 | $11.22 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.30 / $25.12
| Professional | | $10.00 | $12.30 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $10.96
| Professional | | $10.96 | $10.96 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.22 / $26.92
| Facility | | $10.72 | $16.22 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $13.18
| Professional | | $10.72 | $10.72 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $18.62
| Professional | | $18.62 | $18.62 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $11.75 / $18.20
| Professional | | $8.71 | $11.75 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $33.88 / $33.88
| Facility | | $11.22 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $26.30
| Professional | | $11.22 | $11.22 | $26.30 |