- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $24.01 / $46.44
| Facility | | $12.93 | $24.01 | $46.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $12.04 / $13.30
| Professional | | $10.40 | $12.04 | $13.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $20.80 / $26.30
| Facility | | $17.38 | $20.80 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.62 / $34.98 / $64.82
| Facility | | $13.62 | $34.98 | $64.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $33.58 / $41.91
| Facility | | $10.74 | $33.58 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $15.15
| Professional | | $6.61 | $6.61 | $15.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.66 / $30.26
| Professional | | $7.73 | $9.66 | $30.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.86 / $14.86 / $22.59
| Professional | | $14.86 | $14.86 | $22.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.63 / $14.86 / $14.86
| Professional | | $12.63 | $14.86 | $14.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $8.92 / $12.63
| Professional | | $8.92 | $8.92 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $24.92 / $43.47
| Facility | | $13.26 | $24.92 | $43.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.10 / $17.95 / $21.50
| Professional | | $17.10 | $17.95 | $21.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $13.37 / $13.37
| Facility | | $13.37 | $13.37 | $13.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $8.92 / $17.09
| Professional | | $6.24 | $8.92 | $17.09 |