- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $56.30 / $117.39
| Facility | | $15.08 | $56.30 | $117.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $13.76 / $21.92
| Professional | | $11.84 | $13.76 | $21.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $10.62 / $28.29
| Professional | | $9.17 | $10.62 | $28.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $29.82 / $73.11
| Facility | | $16.05 | $29.82 | $73.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $13.91 / $29.05
| Professional | | $7.55 | $13.91 | $29.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $31.31 / $44.73
| Facility | | $10.59 | $31.31 | $44.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $19.66 / $30.68
| Professional | | $10.67 | $19.66 | $30.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.88 / $14.75 / $16.22
| Professional | | $10.88 | $14.75 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $16.05 / $33.75
| Facility | | $15.29 | $16.05 | $33.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $22.94 / $42.05
| Facility | | $15.29 | $22.94 | $42.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $13.76 / $13.76
| Professional | | $13.76 | $13.76 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.57 / $25.23 / $42.05
| Facility | | $17.57 | $25.23 | $42.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $15.29 / $41.32
| Professional | | $11.47 | $15.29 | $41.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $6.88 / $17.12
| Professional | | $6.42 | $6.88 | $17.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $6.88 / $7.92
| Professional | | $6.88 | $6.88 | $7.92 |