- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $138.50 / $244.07
| Facility | | $16.27 | $138.50 | $244.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.43 / $18.14 / $25.76
| Professional | | $15.43 | $18.14 | $25.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $20.86 / $22.42
| Professional | | $10.43 | $20.86 | $22.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.47 / $102.02 / $177.28
| Facility | | $31.47 | $102.02 | $177.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.86 / $21.95 / $52.00
| Professional | | $20.86 | $21.95 | $52.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $60.48 / $118.95
| Facility | | $11.06 | $60.48 | $118.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $13.10 / $29.94
| Professional | | $10.52 | $13.10 | $29.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $24.10 / $40.81
| Facility | | $16.27 | $24.10 | $40.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $29.88 / $38.00
| Professional | | $20.00 | $29.88 | $38.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $11.47 / $16.52
| Professional | | $11.47 | $11.47 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $12.60 / $25.03
| Professional | | $8.76 | $12.60 | $25.03 |