- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $30.84 / $79.40
| Facility | | $13.55 | $30.84 | $79.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $13.26 / $14.41
| Professional | | $7.63 | $13.26 | $14.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.13 / $28.82 / $70.00
| Facility | | $15.13 | $28.82 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $13.11 / $27.38
| Professional | | $7.12 | $13.11 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.97 / $26.13 / $42.17
| Facility | | $9.97 | $26.13 | $42.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $19.20 / $28.73
| Professional | | $9.99 | $19.20 | $28.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $13.90 / $15.29
| Professional | | $10.25 | $13.90 | $15.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $15.85 / $31.81
| Facility | | $14.41 | $15.85 | $31.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $21.62 / $39.63
| Facility | | $14.41 | $21.62 | $39.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $12.97 / $12.97
| Professional | | $12.97 | $12.97 | $12.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $23.78 / $39.63
| Facility | | $16.57 | $23.78 | $39.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $14.41 / $38.61
| Professional | | $10.81 | $14.41 | $38.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $17.29 / $17.29
| Facility | | $14.41 | $17.29 | $17.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $6.48 / $14.41
| Professional | | $6.05 | $6.48 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $6.48 / $7.46
| Professional | | $6.48 | $6.48 | $7.46 |