- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.88 / $37.79 / $134.40
| Facility | | $16.88 | $37.79 | $134.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $15.07 / $30.14
| Professional | | $10.63 | $15.07 | $30.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $16.87
| Professional | | $16.87 | $16.87 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $18.55 / $29.85
| Facility | | $14.90 | $18.55 | $29.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.33 / $18.21
| Professional | | $7.08 | $8.33 | $18.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $10.63 / $10.63
| Facility | | $10.63 | $10.63 | $10.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $13.50 / $13.50
| Professional | | $13.50 | $13.50 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $16.87 / $22.77
| Facility | | $11.51 | $16.87 | $22.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.34 / $21.93 / $22.77
| Professional | | $14.34 | $21.93 | $22.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $17.38 / $70.61
| Facility | | $10.97 | $17.38 | $70.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $13.54 / $24.55
| Professional | | $8.59 | $13.54 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $17.66 / $108.52
| Facility | | $10.97 | $17.66 | $108.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $10.97 / $28.28
| Professional | | $8.59 | $10.97 | $28.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.65 / $13.91 / $20.23
| Professional | | $12.65 | $13.91 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $10.15 / $23.57
| Professional | | $7.09 | $10.15 | $23.57 |