- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.46 / $47.32 / $157.50
| Facility | | $18.46 | $47.32 | $157.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $14.78 / $33.88
| Professional | | $11.86 | $14.78 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $10.16 / $26.26
| Professional | | $8.47 | $10.16 | $26.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $18.63 / $29.98
| Facility | | $14.96 | $18.63 | $29.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $18.29
| Professional | | $8.36 | $8.36 | $18.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.67 / $10.67 / $10.67
| Facility | | $10.67 | $10.67 | $10.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $13.55 / $19.79
| Professional | | $11.86 | $13.55 | $19.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.71 / $17.79 / $22.87
| Facility | | $12.71 | $17.79 | $22.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $16.94 / $27.90
| Professional | | $11.01 | $16.94 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.01 / $17.44 / $38.22
| Facility | | $11.01 | $17.44 | $38.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $13.60 / $24.65
| Professional | | $8.59 | $13.60 | $24.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $36.36 / $135.61
| Facility | | $11.34 | $36.36 | $135.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $11.98 / $31.17
| Professional | | $7.40 | $11.98 | $31.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.71 / $13.98 / $20.33
| Professional | | $12.71 | $13.98 | $20.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $10.16 / $23.67
| Professional | | $7.11 | $10.16 | $23.67 |