- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $24.44 / $47.76
| Facility | | $14.20 | $24.44 | $47.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $14.07 / $16.23
| Professional | | $12.86 | $14.07 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.85 / $78.23 / $160.61
| Facility | | $33.85 | $78.23 | $160.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $24.17 / $30.56
| Facility | | $20.20 | $24.17 | $30.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $38.94 / $63.25
| Facility | | $13.54 | $38.94 | $63.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.74 / $41.51 / $73.21
| Facility | | $16.74 | $41.51 | $73.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $10.36 / $20.46
| Professional | | $9.81 | $10.36 | $20.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $6.24 / $13.96
| Professional | | $5.92 | $6.24 | $13.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $11.23 / $33.83
| Professional | | $7.86 | $11.23 | $33.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $17.27
| Professional | | $17.27 | $17.27 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $24.65 / $50.37
| Facility | | $11.57 | $24.65 | $50.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.82 / $19.82 / $24.78
| Professional | | $19.82 | $19.82 | $24.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $16.40 / $20.72
| Facility | | $15.54 | $16.40 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $10.36 / $19.00
| Professional | | $7.25 | $10.36 | $19.00 |