- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $8.56 / $15.85
| Facility | | $6.70 | $8.56 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $10.68 / $12.75
| Professional | | $6.70 | $10.68 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.67 / $20.05 / $39.34
| Facility | | $19.67 | $20.05 | $39.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $11.52 / $31.19
| Professional | | $11.52 | $11.52 | $31.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $16.39 / $16.39
| Facility | | $15.24 | $16.39 | $16.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.39 / $16.39 / $16.39
| Professional | | $16.39 | $16.39 | $16.39 |
- 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
- $9.74 / $9.74 / $13.34
| Professional | | $9.74 | $9.74 | $13.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.67 / $44.26 / $332.00
| Facility | | $19.67 | $44.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $14.75 / $35.40
| Professional | | $10.16 | $14.75 | $35.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.10
| Facility | | $10.10 | $10.10 | $10.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $11.37 / $14.11
| Professional | | $10.10 | $11.37 | $14.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $13.34 / $555.00
| Facility | | $13.34 | $13.34 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $11.71 / $29.31
| Professional | | $9.74 | $11.71 | $29.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $10.63 / $18.00
| Professional | | $6.54 | $10.63 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.37 / $11.37 / $12.29
| Facility | | $11.37 | $11.37 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $11.37 / $12.09
| Professional | | $10.10 | $11.37 | $12.09 |