- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $29.89 / $86.33
| Facility | | $11.98 | $29.89 | $86.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $12.04 / $19.01
| Professional | | $8.86 | $12.04 | $19.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.64 / $51.80 / $94.88
| Facility | | $19.64 | $51.80 | $94.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.40 / $14.10
| Professional | | $5.00 | $8.40 | $14.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $15.62 / $23.76
| Professional | | $11.09 | $15.62 | $23.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $15.84 / $18.25
| Facility | | $15.84 | $15.84 | $18.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $34.81 / $80.65
| Facility | | $11.07 | $34.81 | $80.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $11.55 / $26.81
| Professional | | $8.40 | $11.55 | $26.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.84 / $114.75 / $114.75
| Facility | | $81.84 | $114.75 | $114.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $15.84 / $20.59
| Facility | | $12.67 | $15.84 | $20.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.98 / $15.84 / $20.64
| Professional | | $14.98 | $15.84 | $20.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $15.84 / $39.74
| Facility | | $12.67 | $15.84 | $39.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.20 / $22.89
| Professional | | $8.40 | $12.20 | $22.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $9.06 / $13.46
| Professional | | $6.65 | $9.06 | $13.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $7.82 / $15.84
| Professional | | $6.18 | $7.82 | $15.84 |