- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $18.02 / $34.79
| Facility | | $14.92 | $18.02 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.06 / $61.61
| Professional | | $10.44 | $12.06 | $61.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $32.72 / $40.78
| Facility | | $20.20 | $32.72 | $40.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $14.04 / $22.32
| Professional | | $8.17 | $14.04 | $22.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $29.98 / $32.35
| Professional | | $12.43 | $29.98 | $32.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $14.28 / $37.35
| Facility | | $10.29 | $14.28 | $37.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $14.92 / $19.95
| Professional | | $12.43 | $14.92 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.43 / $15.84 / $27.44
| Facility | | $12.43 | $15.84 | $27.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $15.04 / $36.04
| Facility | | $10.29 | $15.04 | $36.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $14.68 / $18.59
| Professional | | $12.43 | $14.68 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.24 / $37.82 / $51.35
| Facility | | $24.24 | $37.82 | $51.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $14.47 / $30.36
| Professional | | $11.01 | $14.47 | $30.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $18.64 / $19.89
| Facility | | $18.64 | $18.64 | $19.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $5.63 / $14.92
| Professional | | $5.22 | $5.63 | $14.92 |