- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $29.69 / $90.86
| Facility | | $15.50 | $29.69 | $90.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $15.50 / $29.69
| Professional | | $11.05 | $15.50 | $29.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $32.97 / $90.00
| Facility | | $17.30 | $32.97 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $14.84 / $31.33
| Professional | | $6.85 | $14.84 | $31.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $25.15 / $44.52
| Facility | | $9.60 | $25.15 | $44.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $19.00 / $27.76
| Professional | | $9.64 | $19.00 | $27.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $15.91 / $17.50
| Professional | | $11.74 | $15.91 | $17.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $17.30 / $36.40
| Facility | | $16.48 | $17.30 | $36.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $24.74 / $45.35
| Facility | | $16.48 | $24.74 | $45.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.84 / $14.84 / $14.84
| Professional | | $14.84 | $14.84 | $14.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.96 / $27.06 / $45.35
| Facility | | $18.96 | $27.06 | $45.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.37 / $16.48 / $44.91
| Professional | | $12.37 | $16.48 | $44.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $7.42 / $18.47
| Professional | | $6.93 | $7.42 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $7.42 / $8.53
| Professional | | $7.42 | $7.42 | $8.53 |