- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.63 / $55.48 / $133.61
| Facility | | $24.63 | $55.48 | $133.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $23.08 / $45.36
| Professional | | $10.42 | $23.08 | $45.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $15.91
| Professional | | $15.27 | $15.27 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.72 / $44.54 / $120.89
| Facility | | $26.72 | $44.54 | $120.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $23.16 / $48.36
| Professional | | $10.18 | $23.16 | $48.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $41.02 / $64.20
| Facility | | $13.54 | $41.02 | $64.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.10 / $29.32 / $36.65
| Professional | | $26.10 | $29.32 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.45 / $28.00 / $38.18
| Facility | | $25.45 | $28.00 | $38.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.45 / $38.18 / $69.98
| Facility | | $25.45 | $38.18 | $69.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.63 / $26.72 / $36.14
| Professional | | $21.63 | $26.72 | $36.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.27 / $41.76 / $69.98
| Facility | | $29.27 | $41.76 | $69.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.09 / $25.45 / $68.26
| Professional | | $19.09 | $25.45 | $68.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $10.69 / $25.45
| Professional | | $10.69 | $10.69 | $25.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.45 / $11.45 / $13.18
| Professional | | $11.45 | $11.45 | $13.18 |