- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.48 / $42.06 / $117.77
| Facility | | $12.48 | $42.06 | $117.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.58 / $12.23 / $23.68
| Professional | | $11.58 | $12.23 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $7.97 / $9.22
| Professional | | $7.97 | $7.97 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.94 / $26.56 / $65.36
| Facility | | $13.94 | $26.56 | $65.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $12.08 / $22.90
| Professional | | $6.56 | $12.08 | $22.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $27.18 / $90.67
| Facility | | $9.19 | $27.18 | $90.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $17.20 / $26.30
| Professional | | $9.30 | $17.20 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.45 / $12.81 / $14.09
| Professional | | $9.45 | $12.81 | $14.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $13.94 / $30.75
| Facility | | $13.28 | $13.94 | $30.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $19.92 / $36.52
| Facility | | $13.28 | $19.92 | $36.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $11.95 / $11.95
| Professional | | $11.95 | $11.95 | $11.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $21.91 / $36.52
| Facility | | $15.27 | $21.91 | $36.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.96 / $13.28 / $35.93
| Professional | | $9.96 | $13.28 | $35.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $5.58 / $13.28
| Professional | | $5.58 | $5.58 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $5.98 / $6.88
| Professional | | $5.98 | $5.98 | $6.88 |