- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.41 / $24.88 / $97.74
| Facility | | $15.41 | $24.88 | $97.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $13.66 / $14.90
| Professional | | $7.90 | $13.66 | $14.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.65 / $26.82 / $91.80
| Facility | | $15.65 | $26.82 | $91.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $13.56 / $25.70
| Professional | | $7.36 | $13.56 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $30.52 / $61.13
| Facility | | $10.31 | $30.52 | $61.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $19.30 / $29.70
| Professional | | $10.33 | $19.30 | $29.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $14.37 / $15.80
| Professional | | $10.60 | $14.37 | $15.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $16.39 / $32.89
| Facility | | $14.90 | $16.39 | $32.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $22.35 / $40.98
| Facility | | $14.90 | $22.35 | $40.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $13.41 / $13.41
| Professional | | $13.41 | $13.41 | $13.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.39 / $24.45 / $40.98
| Facility | | $16.39 | $24.45 | $40.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $14.90 / $40.42
| Professional | | $11.18 | $14.90 | $40.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $6.26 / $14.90
| Professional | | $6.26 | $6.26 | $14.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $6.71 / $7.72
| Professional | | $6.71 | $6.71 | $7.72 |