- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.23 / $33.58 / $93.16
| Facility | | $20.23 | $33.58 | $93.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.91 / $13.49
| Professional | | $9.33 | $12.91 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.07 / $33.01 / $102.00
| Facility | | $15.07 | $33.01 | $102.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $13.06 / $24.75
| Professional | | $7.08 | $13.06 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.93 / $29.39 / $76.91
| Facility | | $9.93 | $29.39 | $76.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $18.76 / $28.73
| Professional | | $9.99 | $18.76 | $28.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $13.84 / $15.22
| Professional | | $10.21 | $13.84 | $15.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $15.07 / $36.90
| Facility | | $14.35 | $15.07 | $36.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $21.53 / $39.46
| Facility | | $14.35 | $21.53 | $39.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.92 / $12.92 / $12.92
| Professional | | $12.92 | $12.92 | $12.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $23.68 / $39.46
| Facility | | $16.50 | $23.68 | $39.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $14.35 / $38.61
| Professional | | $10.76 | $14.35 | $38.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.19 / $16.07
| Professional | | $6.03 | $7.19 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $7.43
| Professional | | $6.46 | $6.46 | $7.43 |