- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $26.92 / $138.04
| Facility | | $14.45 | $26.92 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.23 / $16.98
| Professional | | $7.94 | $10.23 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $30.20 / $41.69
| Facility | | $18.62 | $30.20 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $11.48 / $20.42
| Professional | | $7.76 | $11.48 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $25.12 / $30.20
| Professional | | $11.48 | $25.12 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $23.99
| Facility | | $11.48 | $11.48 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $14.45 / $23.44
| Professional | | $11.48 | $14.45 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $24.55
| Facility | | $11.48 | $11.48 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $16.60 / $34.67
| Facility | | $11.22 | $16.60 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $14.45 / $79.43
| Professional | | $11.48 | $14.45 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $34.67 / $47.86
| Facility | | $17.38 | $34.67 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $11.48 / $14.79
| Professional | | $8.71 | $11.48 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $18.62
| Facility | | $13.80 | $13.80 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.61 / $16.22
| Professional | | $4.79 | $6.61 | $16.22 |