- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.72 / $38.39 / $91.16
| Facility | | $16.72 | $38.39 | $91.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.34 / $16.85 / $37.02
| Professional | | $12.34 | $16.85 | $37.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.69 / $32.86 / $80.04
| Facility | | $17.69 | $32.86 | $80.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $15.17 / $32.02
| Professional | | $7.16 | $15.17 | $32.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.03 / $34.49 / $46.56
| Facility | | $10.03 | $34.49 | $46.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $21.06 / $29.22
| Professional | | $10.16 | $21.06 | $29.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $16.26 / $17.88
| Professional | | $12.00 | $16.26 | $17.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $18.54 / $37.20
| Facility | | $16.85 | $18.54 | $37.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $25.28 / $46.34
| Facility | | $16.85 | $25.28 | $46.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.17 / $15.17 / $15.17
| Professional | | $15.17 | $15.17 | $15.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $27.65 / $46.34
| Facility | | $19.38 | $27.65 | $46.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $16.85 / $45.81
| Professional | | $12.64 | $16.85 | $45.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.20 / $18.87
| Professional | | $7.08 | $7.20 | $18.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $7.58 / $8.73
| Professional | | $7.58 | $7.58 | $8.73 |