- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.60 / $59.98 / $241.30
| Facility | | $20.60 | $59.98 | $241.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $14.72 / $35.34
| Professional | | $12.26 | $14.72 | $35.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $11.04 / $11.04
| Professional | | $11.04 | $11.04 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.25 / $20.23 / $32.56
| Facility | | $16.25 | $20.23 | $32.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $7.36 / $18.70
| Professional | | $7.36 | $7.36 | $18.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.59 / $11.59 / $11.59
| Facility | | $11.59 | $11.59 | $11.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.72 / $14.72 / $14.72
| Professional | | $14.72 | $14.72 | $14.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $19.32 / $24.84
| Facility | | $13.80 | $19.32 | $24.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $18.48 / $30.31
| Professional | | $11.96 | $18.48 | $30.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $18.94 / $106.54
| Facility | | $11.96 | $18.94 | $106.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $11.96 / $26.33
| Professional | | $8.42 | $11.96 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $31.34 / $170.81
| Facility | | $11.96 | $31.34 | $170.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $10.88 / $21.93
| Professional | | $8.43 | $10.88 | $21.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $15.18 / $22.08
| Professional | | $13.80 | $15.18 | $22.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.04 / $29.68
| Professional | | $7.72 | $11.04 | $29.68 |