- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.68 / $26.62 / $323.83
| Facility | | $13.68 | $26.62 | $323.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.13 / $20.82
| Professional | | $10.23 | $11.13 | $20.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $30.21 / $41.18
| Facility | | $18.64 | $30.21 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $13.22 / $20.56
| Professional | | $8.17 | $13.22 | $20.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $27.60 / $29.79
| Professional | | $11.47 | $27.60 | $29.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $14.43 / $38.18
| Facility | | $10.40 | $14.43 | $38.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $13.19 / $18.80
| Professional | | $11.47 | $13.19 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $15.30 / $25.32
| Facility | | $11.47 | $15.30 | $25.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $14.43 / $33.26
| Facility | | $10.40 | $14.43 | $33.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $14.34 / $18.78
| Professional | | $11.47 | $14.34 | $18.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.37 / $35.43 / $47.39
| Facility | | $22.37 | $35.43 | $47.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $14.63 / $27.90
| Professional | | $10.14 | $14.63 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.21 / $17.21 / $18.35
| Facility | | $17.21 | $17.21 | $18.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.56 / $13.76
| Professional | | $4.82 | $6.56 | $13.76 |