- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $17.93 / $135.15
| Facility | | $9.22 | $17.93 | $135.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $9.02 / $10.61
| Professional | | $7.50 | $9.02 | $10.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.55 / $20.32 / $27.77
| Facility | | $12.55 | $20.32 | $27.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $9.09 / $14.10
| Professional | | $5.51 | $9.09 | $14.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $18.92 / $20.42
| Professional | | $7.73 | $18.92 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $9.73 / $26.56
| Facility | | $6.75 | $9.73 | $26.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $8.89 / $13.07
| Professional | | $7.73 | $8.89 | $13.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.73 / $10.51 / $17.05
| Facility | | $7.73 | $10.51 | $17.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $9.73 / $22.42
| Facility | | $6.75 | $9.73 | $22.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.27 / $12.67
| Professional | | $7.73 | $9.27 | $12.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.07 / $23.88 / $31.94
| Facility | | $15.07 | $23.88 | $31.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $9.86 / $18.87
| Professional | | $6.95 | $9.86 | $18.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.42 / $9.27
| Professional | | $3.25 | $4.42 | $9.27 |