- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.83 / $31.17 / $86.95
| Facility | | $14.83 | $31.17 | $86.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $13.40 / $15.78
| Professional | | $8.35 | $13.40 | $15.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $30.77 / $101.00
| Facility | | $16.57 | $30.77 | $101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $14.20 / $25.49
| Professional | | $7.19 | $14.20 | $25.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $25.44 / $46.17
| Facility | | $10.07 | $25.44 | $46.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $18.17 / $29.22
| Professional | | $10.16 | $18.17 | $29.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $15.22 / $16.74
| Professional | | $11.23 | $15.22 | $16.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.78 / $17.36 / $34.50
| Facility | | $15.78 | $17.36 | $34.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.78 / $23.67 / $43.39
| Facility | | $15.78 | $23.67 | $43.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.20 / $14.20 / $14.20
| Professional | | $14.20 | $14.20 | $14.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $25.89 / $43.40
| Facility | | $18.14 | $25.89 | $43.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $15.78 / $42.22
| Professional | | $11.84 | $15.78 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $7.10 / $17.67
| Professional | | $6.63 | $7.10 | $17.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $7.10 / $8.17
| Professional | | $7.10 | $7.10 | $8.17 |