- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.94 / $18.64 / $71.37
| Facility | | $11.94 | $18.64 | $71.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $11.40 / $13.84
| Professional | | $10.96 | $11.40 | $13.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $8.73 / $8.73
| Professional | | $8.73 | $8.73 | $8.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.28 / $14.24 / $25.01
| Facility | | $10.28 | $14.24 | $25.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $9.44 / $12.74
| Professional | | $6.42 | $9.44 | $12.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $12.58 / $34.14
| Facility | | $9.44 | $12.58 | $34.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $8.18 / $12.58
| Professional | | $8.18 | $8.18 | $12.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $14.46 / $18.07
| Professional | | $9.67 | $14.46 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.94 / $18.27 / $71.50
| Facility | | $11.94 | $18.27 | $71.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.68 / $17.61
| Professional | | $10.96 | $14.68 | $17.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $10.41 / $14.05
| Professional | | $9.36 | $10.41 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $10.35 / $10.91
| Professional | | $5.28 | $10.35 | $10.91 |