- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.05 / $49.35 / $170.44
| Facility | | $11.05 | $49.35 | $170.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $19.82 / $101.30
| Professional | | $9.90 | $19.82 | $101.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $8.01 / $21.33
| Professional | | $6.92 | $8.01 | $21.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.11 / $23.06 / $96.85
| Facility | | $12.11 | $23.06 | $96.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $10.49 / $19.89
| Professional | | $5.70 | $10.49 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.99 / $23.59 / $367.55
| Facility | | $7.99 | $23.59 | $367.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $15.18 / $22.89
| Professional | | $8.09 | $15.18 | $22.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.20 / $11.12 / $12.23
| Professional | | $8.20 | $11.12 | $12.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $12.11 / $25.63
| Facility | | $11.53 | $12.11 | $25.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $11.53 / $11.53
| Facility | | $10.38 | $11.53 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $10.38 / $10.38
| Professional | | $10.38 | $10.38 | $10.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $19.02 / $31.71
| Facility | | $13.26 | $19.02 | $31.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $11.53 / $31.44
| Professional | | $8.65 | $11.53 | $31.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $12.60
| Professional | | $4.84 | $4.84 | $12.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $5.97 / $5.97
| Professional | | $5.97 | $5.97 | $5.97 |