- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.68 / $60.45 / $72.20
| Facility | | $14.68 | $60.45 | $72.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $13.99 / $14.68
| Professional | | $11.33 | $13.99 | $14.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.47 / $13.47 / $13.47
| Professional | | $13.47 | $13.47 | $13.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $22.45 / $57.59
| Facility | | $11.57 | $22.45 | $57.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.82 / $19.82 / $24.78
| Professional | | $19.82 | $19.82 | $24.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.19 / $23.38
| Professional | | $7.94 | $10.19 | $23.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.26 / $29.26 / $270.11
| Facility | | $29.26 | $29.26 | $270.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.23 / $49.03 / $72.20
| Facility | | $19.23 | $49.03 | $72.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $13.99 / $71.33
| Professional | | $11.33 | $13.99 | $71.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $21.66 / $57.59
| Facility | | $11.57 | $21.66 | $57.59 |
- 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
- $17.27 / $17.27 / $19.00
| Facility | | $17.27 | $17.27 | $19.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $17.27 / $19.00
| Professional | | $15.20 | $17.27 | $19.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $20.72 / $20.72
| Facility | | $15.54 | $20.72 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $10.36 / $29.36
| Professional | | $7.25 | $10.36 | $29.36 |