- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.89 / $15.57 / $30.07
| Facility | | $12.89 | $15.57 | $30.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $10.42 / $58.27
| Professional | | $10.42 | $10.42 | $58.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.45 / $28.27 / $38.54
| Facility | | $17.45 | $28.27 | $38.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $12.39 / $19.39
| Professional | | $7.64 | $12.39 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $26.02 / $28.08
| Professional | | $10.74 | $26.02 | $28.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $13.51 / $35.69
| Facility | | $10.42 | $13.51 | $35.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $12.89 / $21.61
| Professional | | $10.74 | $12.89 | $21.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $14.50 / $25.63
| Facility | | $10.74 | $14.50 | $25.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $13.51 / $31.15
| Facility | | $10.74 | $13.51 | $31.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $13.43 / $17.57
| Professional | | $10.74 | $13.43 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.94 / $33.15 / $44.37
| Facility | | $20.94 | $33.15 | $44.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.69 / $26.26
| Professional | | $9.56 | $13.69 | $26.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $16.11 / $17.18
| Facility | | $16.11 | $16.11 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.14 / $12.89
| Professional | | $4.51 | $6.14 | $12.89 |