- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.46 / $41.14 / $154.36
| Facility | | $18.46 | $41.14 | $154.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $12.97 / $14.57
| Professional | | $11.66 | $12.97 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $10.11 / $22.58
| Professional | | $7.29 | $10.11 | $22.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $16.03 / $25.78
| Facility | | $12.87 | $16.03 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $7.20 / $15.73
| Professional | | $7.20 | $7.20 | $15.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $9.18 / $9.18
| Facility | | $9.18 | $9.18 | $9.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $11.66 / $11.66
| Professional | | $11.66 | $11.66 | $11.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $15.30 / $19.67
| Facility | | $10.93 | $15.30 | $19.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $14.59 / $23.99
| Professional | | $9.47 | $14.59 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $15.00 / $32.86
| Facility | | $9.47 | $15.00 | $32.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $11.69 / $21.21
| Professional | | $7.43 | $11.69 | $21.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $30.23 / $113.47
| Facility | | $9.75 | $30.23 | $113.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $11.71 / $25.59
| Professional | | $7.61 | $11.71 | $25.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $12.02 / $17.48
| Professional | | $10.93 | $12.02 | $17.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.92 / $20.36
| Professional | | $6.12 | $8.92 | $20.36 |