- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $12.65 / $298.01
| Facility | | $9.73 | $12.65 | $298.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $13.45
| Professional | | $10.68 | $10.68 | $13.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.53 / $8.53 / $10.68
| Facility | | $8.53 | $8.53 | $10.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $42.00
| Professional | | $10.68 | $10.68 | $42.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $15.08 / $15.83
| Facility | | $15.08 | $15.08 | $15.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.08 / $15.08 / $15.08
| Professional | | $15.08 | $15.08 | $15.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $20.20 / $85.00
| Facility | | $10.07 | $20.20 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $15.11
| Professional | | $10.68 | $10.68 | $15.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.58 / $16.62 / $332.00
| Facility | | $11.58 | $16.62 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.08 / $11.58 / $14.45
| Professional | | $11.08 | $11.58 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $11.08
| Facility | | $10.68 | $10.68 | $11.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $11.08 / $11.08
| Professional | | $10.68 | $11.08 | $11.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $16.13 / $16.13
| Professional | | $16.13 | $16.13 | $16.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $20.80 / $85.00
| Facility | | $10.07 | $20.80 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $49.00
| Professional | | $10.68 | $10.68 | $49.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $11.32 / $16.39
| Professional | | $10.68 | $11.32 | $16.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.08 / $11.08 / $11.08
| Facility | | $11.08 | $11.08 | $11.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $11.08 / $11.08
| Professional | | $10.68 | $11.08 | $11.08 |