- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.17 / $14.68 / $29.14
| Facility | | $11.17 | $14.68 | $29.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $23.15 / $46.00
| Professional | | $11.17 | $23.15 | $46.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $13.67 / $35.54
| Professional | | $11.00 | $13.67 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $7.55 / $28.31
| Professional | | $5.95 | $7.55 | $28.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $15.30 / $15.30
| Facility | | $14.23 | $15.30 | $15.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.30 / $15.30 / $15.30
| Professional | | $15.30 | $15.30 | $15.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.36 / $21.36 / $21.36
| Facility | | $21.36 | $21.36 | $21.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $7.44
| Professional | | $7.44 | $7.44 | $7.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.23 / $33.36 / $332.00
| Facility | | $18.23 | $33.36 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $24.68 / $39.56
| Professional | | $19.14 | $24.68 | $39.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.06 / $22.06 / $22.06
| Facility | | $22.06 | $22.06 | $22.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.30 / $23.44 / $23.44
| Professional | | $15.30 | $23.44 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.36 / $21.36 / $597.00
| Facility | | $21.36 | $21.36 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $31.23
| Professional | | $7.44 | $7.44 | $31.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $9.67 / $20.13
| Professional | | $6.06 | $9.67 | $20.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.06 / $22.06 / $23.68
| Facility | | $22.06 | $22.06 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.06 / $22.06 / $23.44
| Professional | | $22.06 | $22.06 | $23.44 |