- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.36 / $7.46 / $8.06
| Facility | | $7.36 | $7.46 | $8.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $7.92 / $11.36
| Professional | | $6.59 | $7.92 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.79 / $11.79 / $11.79
| Professional | | $11.79 | $11.79 | $11.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $14.47 / $31.18
| Facility | | $8.78 | $14.47 | $31.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $9.36 / $9.36
| Professional | | $9.36 | $9.36 | $9.36 |
- 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
- $13.32 / $13.32 / $13.32
| Facility | | $13.32 | $13.32 | $13.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $4.63
| Professional | | $4.63 | $4.63 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.08 / $90.00 / $90.00
| Facility | | $23.08 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.28 / $137.82 / $143.33
| Professional | | $85.28 | $137.82 | $143.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $11.37 / $29.08
| Facility | | $7.56 | $11.37 | $29.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $10.80 / $11.37
| Professional | | $9.66 | $10.80 | $11.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $12.76 / $19.89
| Professional | | $11.14 | $12.76 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $11.70 / $29.08
| Facility | | $7.56 | $11.70 | $29.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $9.44
| Professional | | $4.63 | $4.63 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.16 / $7.82
| Professional | | $4.01 | $5.16 | $7.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.37 / $11.37 / $15.35
| Professional | | $11.37 | $11.37 | $15.35 |