- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $20.37 / $39.34
| Facility | | $16.86 | $20.37 | $39.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.77 / $13.63 / $18.69
| Professional | | $11.77 | $13.63 | $18.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.83 / $36.97 / $50.41
| Facility | | $22.83 | $36.97 | $50.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $16.11 / $25.26
| Professional | | $10.11 | $16.11 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.05 / $33.90 / $36.59
| Professional | | $14.05 | $33.90 | $36.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $17.66 / $47.31
| Facility | | $12.25 | $17.66 | $47.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.05 / $16.16 / $28.25
| Professional | | $14.05 | $16.16 | $28.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.05 / $18.97 / $34.85
| Facility | | $14.05 | $18.97 | $34.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $17.66 / $40.75
| Facility | | $12.25 | $17.66 | $40.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.05 / $17.55 / $22.98
| Professional | | $14.05 | $17.55 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.40 / $43.35 / $58.05
| Facility | | $27.40 | $43.35 | $58.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $17.89 / $34.46
| Professional | | $12.46 | $17.89 | $34.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.08 / $21.08 / $22.48
| Facility | | $21.08 | $21.08 | $22.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.02 / $16.86
| Professional | | $5.90 | $8.02 | $16.86 |