- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.32 / $78.51 / $144.40
| Facility | | $24.32 | $78.51 | $144.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.41 / $14.93 / $23.76
| Professional | | $14.41 | $14.93 | $23.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.25 / $44.15 / $60.24
| Facility | | $27.25 | $44.15 | $60.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $19.41 / $29.96
| Professional | | $12.08 | $19.41 | $29.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.77 / $41.01 / $44.25
| Professional | | $16.77 | $41.01 | $44.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.63 / $23.27 / $64.70
| Facility | | $14.63 | $23.27 | $64.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.77 / $19.29 / $27.05
| Professional | | $16.77 | $19.29 | $27.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.77 / $20.75 / $37.02
| Facility | | $16.77 | $20.75 | $37.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.63 / $20.29 / $48.63
| Facility | | $14.63 | $20.29 | $48.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.77 / $20.71 / $26.22
| Professional | | $16.77 | $20.71 | $26.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.70 / $51.78 / $69.28
| Facility | | $32.70 | $51.78 | $69.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.06 / $20.42 / $41.03
| Professional | | $15.06 | $20.42 | $41.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.55 / $10.55 / $16.77
| Facility | | $10.55 | $10.55 | $16.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $9.59 / $20.12
| Professional | | $7.04 | $9.59 | $20.12 |