- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $36.85 / $71.44
| Facility | | $14.12 | $36.85 | $71.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.12 / $15.47 / $17.64
| Professional | | $14.12 | $15.47 | $17.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $12.03 / $12.03
| Professional | | $10.59 | $12.03 | $12.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.58 / $19.42 / $31.24
| Facility | | $15.58 | $19.42 | $31.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $8.55 / $19.05
| Professional | | $8.55 | $8.55 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $11.12 / $11.12
| Facility | | $11.12 | $11.12 | $11.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $18.53 / $23.83
| Facility | | $13.24 | $18.53 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $15.00 / $23.83
| Professional | | $11.47 | $15.00 | $23.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $18.17 / $64.67
| Facility | | $11.47 | $18.17 | $64.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $13.90 / $25.81
| Professional | | $8.75 | $13.90 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $19.35 / $65.68
| Facility | | $11.47 | $19.35 | $65.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $13.90 / $32.47
| Professional | | $8.75 | $13.90 | $32.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $14.56 / $21.18
| Professional | | $13.24 | $14.56 | $21.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.59 / $24.20
| Professional | | $7.41 | $10.59 | $24.20 |