- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.98 / $27.63 / $76.16
| Facility | | $14.98 | $27.63 | $76.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $15.73 / $116.13
| Professional | | $11.22 | $15.73 | $116.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.54 / $12.54 / $12.54
| Professional | | $12.54 | $12.54 | $12.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $39.67 / $66.11
| Facility | | $10.10 | $39.67 | $66.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.46 / $15.22 / $21.68
| Professional | | $10.46 | $15.22 | $21.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $29.35 / $52.83
| Facility | | $12.64 | $29.35 | $52.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $20.65 / $27.36
| Professional | | $11.74 | $20.65 | $27.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $16.37 / $86.10
| Facility | | $13.55 | $16.37 | $86.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.60 / $14.75
| Professional | | $7.59 | $10.60 | $14.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.60 / $14.45
| Professional | | $7.59 | $10.60 | $14.45 |