- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.74 / $44.46 / $180.90
| Facility | | $20.74 | $44.46 | $180.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $16.54 / $33.56
| Professional | | $12.96 | $16.54 | $33.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $11.11 / $12.86
| Professional | | $11.11 | $11.11 | $12.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.35 / $20.37 / $32.77
| Facility | | $16.35 | $20.37 | $32.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $10.73 / $14.76
| Professional | | $8.76 | $10.73 | $14.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.67 / $11.67 / $11.67
| Facility | | $11.67 | $11.67 | $11.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.82 / $14.82 / $21.63
| Professional | | $14.82 | $14.82 | $21.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $19.45 / $25.00
| Facility | | $13.89 | $19.45 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $18.52 / $30.50
| Professional | | $12.04 | $18.52 | $30.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $19.07 / $41.77
| Facility | | $12.04 | $19.07 | $41.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.41 / $18.38 / $26.95
| Professional | | $9.41 | $18.38 | $26.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $41.59 / $169.74
| Facility | | $14.80 | $41.59 | $169.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.41 / $14.75 / $34.08
| Professional | | $9.41 | $14.75 | $34.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.89 / $15.27 / $22.22
| Professional | | $13.89 | $15.27 | $22.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.78 / $11.14 / $25.88
| Professional | | $7.78 | $11.14 | $25.88 |