- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.24 / $7.98 / $14.78
| Facility | | $6.24 | $7.98 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $9.69 / $11.89
| Professional | | $6.24 | $9.69 | $11.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.35 / $18.72 / $36.70
| Facility | | $18.35 | $18.72 | $36.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.20 / $11.20 / $29.84
| Professional | | $11.20 | $11.20 | $29.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.21 / $15.28 / $15.28
| Facility | | $14.21 | $15.28 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.28 / $15.28 / $15.28
| Professional | | $15.28 | $15.28 | $15.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.18 / $12.18 / $12.18
| Facility | | $12.18 | $12.18 | $12.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $8.89 / $12.18
| Professional | | $8.89 | $8.89 | $12.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.35 / $41.29 / $332.00
| Facility | | $18.35 | $41.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $13.76 / $33.03
| Professional | | $9.47 | $13.76 | $33.03 |
- 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 / $11.03 / $13.16
| Professional | | $10.10 | $11.03 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.18 / $12.18 / $555.00
| Facility | | $12.18 | $12.18 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $10.93 / $27.19
| Professional | | $8.89 | $10.93 | $27.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.10 / $10.48 / $18.35
| Professional | | $6.10 | $10.48 | $18.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $11.03 / $11.46
| Facility | | $11.03 | $11.03 | $11.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $11.03 / $11.72
| Professional | | $10.10 | $11.03 | $11.72 |