- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $11.97 / $12.93
| Facility | | $11.81 | $11.97 | $12.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $13.41 / $30.10
| Professional | | $11.17 | $13.41 | $30.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $11.00 / $16.80
| Professional | | $11.00 | $11.00 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.10 / $23.35 / $50.18
| Facility | | $14.10 | $23.35 | $50.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.02 / $15.02 / $15.02
| Professional | | $15.02 | $15.02 | $15.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.37 / $13.67 / $18.23
| Professional | | $11.37 | $13.67 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- 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
- $37.01 / $90.00 / $99.52
| Facility | | $37.01 | $90.00 | $99.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $136.72 / $229.68 / $238.87
| Professional | | $136.72 | $229.68 | $238.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $18.54 / $48.47
| Facility | | $12.13 | $18.54 | $48.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $17.32 / $20.96
| Professional | | $15.50 | $17.32 | $20.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.87 / $20.45 / $31.90
| Professional | | $17.87 | $20.45 | $31.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $19.07 / $48.47
| Facility | | $12.31 | $19.07 | $48.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $15.16
| Professional | | $7.44 | $7.44 | $15.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $8.27 / $12.54
| Professional | | $6.45 | $8.27 | $12.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $18.23 / $24.61
| Professional | | $18.23 | $18.23 | $24.61 |