- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $50.53 / $142.56
| Facility | | $12.22 | $50.53 | $142.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $11.57 / $15.31
| Professional | | $9.44 | $11.57 | $15.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.66 / $8.86 / $23.61
| Professional | | $7.66 | $8.86 | $23.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $24.88 / $61.32
| Facility | | $13.40 | $24.88 | $61.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $11.61 / $25.57
| Professional | | $6.30 | $11.61 | $25.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $26.11 / $46.96
| Facility | | $8.83 | $26.11 | $46.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.50 / $25.32
| Professional | | $8.94 | $16.50 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $12.31 / $13.54
| Professional | | $9.08 | $12.31 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $13.40 / $28.17
| Facility | | $12.76 | $13.40 | $28.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $19.14 / $35.09
| Facility | | $12.76 | $19.14 | $35.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Professional | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.67 / $21.05 / $35.09
| Facility | | $14.67 | $21.05 | $35.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $12.76 / $34.13
| Professional | | $9.57 | $12.76 | $34.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $5.36 / $14.29
| Professional | | $5.36 | $5.36 | $14.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $5.74 / $6.61
| Professional | | $5.74 | $5.74 | $6.61 |