- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $30.38 / $65.52
| Facility | | $9.06 | $30.38 | $65.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.44 / $23.36
| Professional | | $7.19 | $10.44 | $23.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.19 / $8.32
| Professional | | $5.75 | $7.19 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.86 / $39.17 / $68.18
| Facility | | $14.86 | $39.17 | $68.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.35 / $10.78
| Professional | | $5.00 | $6.35 | $10.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $18.57 / $71.73
| Facility | | $11.98 | $18.57 | $71.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $11.98
| Facility | | $11.98 | $11.98 | $11.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $26.33 / $60.83
| Facility | | $8.38 | $26.33 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $8.66 / $20.23
| Professional | | $6.35 | $8.66 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.66 / $192.84 / $192.84
| Facility | | $151.66 | $192.84 | $192.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $15.57
| Facility | | $9.58 | $11.98 | $15.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $11.98 / $15.61
| Professional | | $10.78 | $11.98 | $15.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $30.01
| Facility | | $9.58 | $11.98 | $30.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $9.22 / $17.32
| Professional | | $6.35 | $9.22 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.85 / $11.55
| Professional | | $5.03 | $6.85 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.92 / $11.98
| Professional | | $4.67 | $5.92 | $11.98 |