- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.59 / $25.11 / $69.11
| Facility | | $9.59 | $25.11 | $69.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $11.31 / $23.02
| Professional | | $7.61 | $11.31 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $6.09 / $6.09
| Professional | | $6.09 | $6.09 | $6.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $40.45 / $70.94
| Facility | | $14.46 | $40.45 | $70.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.72 / $11.29
| Professional | | $5.00 | $6.72 | $11.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $12.50 / $20.14
| Professional | | $8.88 | $12.50 | $20.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $12.68 / $12.68
| Facility | | $9.42 | $12.68 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $27.85 / $63.45
| Facility | | $8.86 | $27.85 | $63.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $9.21 / $21.34
| Professional | | $6.72 | $9.21 | $21.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.05 / $86.53 / $86.53
| Facility | | $68.05 | $86.53 | $86.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $12.68 / $15.85
| Facility | | $10.14 | $12.68 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.41 / $12.68 / $16.53
| Professional | | $11.41 | $12.68 | $16.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $12.68 / $29.78
| Facility | | $10.14 | $12.68 | $29.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $9.76 / $18.18
| Professional | | $6.72 | $9.76 | $18.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.26 / $8.57
| Professional | | $5.33 | $7.26 | $8.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $6.26 / $12.68
| Professional | | $4.95 | $6.26 | $12.68 |