- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.81 / $31.43 / $80.94
| Facility | | $13.81 | $31.43 | $80.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $13.81 / $20.17
| Professional | | $7.79 | $13.81 | $20.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.42 / $33.79 / $77.00
| Facility | | $15.42 | $33.79 | $77.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.26 / $13.22 / $25.35
| Professional | | $7.26 | $13.22 | $25.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.17 / $30.08 / $64.36
| Facility | | $10.17 | $30.08 | $64.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $18.95 / $29.22
| Professional | | $10.16 | $18.95 | $29.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $14.17 / $15.58
| Professional | | $10.45 | $14.17 | $15.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $16.16 / $32.79
| Facility | | $14.69 | $16.16 | $32.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $22.04 / $40.40
| Facility | | $14.69 | $22.04 | $40.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $13.22 / $13.22
| Professional | | $13.22 | $13.22 | $13.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $24.24 / $40.40
| Facility | | $16.89 | $24.24 | $40.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $14.69 / $39.52
| Professional | | $11.02 | $14.69 | $39.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $14.69
| Professional | | $6.17 | $6.17 | $14.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $7.61
| Professional | | $6.61 | $6.61 | $7.61 |