- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $9.84 / $16.09
| Professional | | $6.78 | $9.84 | $16.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $12.97 / $19.54
| Professional | | $12.77 | $12.97 | $19.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.54 / $11.48 / $15.32
| Facility | | $1.54 | $11.48 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $11.48 / $15.32
| Professional | | $1.54 | $11.48 | $15.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $10.65 / $13.97
| Facility | | $10.65 | $10.65 | $13.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $10.65 / $13.97
| Professional | | $9.05 | $10.65 | $13.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $332.00 / $332.00
| Facility | | $319.00 | $332.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $10.35 / $14.66
| Professional | | $9.88 | $10.35 | $14.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $14.18 / $14.94
| Professional | | $13.34 | $14.18 | $14.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $13.09 / $13.09
| Professional | | $13.09 | $13.09 | $13.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $10.65 / $13.97
| Facility | | $10.65 | $10.65 | $13.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $10.65 / $13.97
| Professional | | $1.52 | $10.65 | $13.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $10.68 / $15.25
| Professional | | $6.93 | $10.68 | $15.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $13.34 / $13.34
| Facility | | $13.34 | $13.34 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $13.34 / $14.94
| Professional | | $13.34 | $13.34 | $14.94 |