- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.00 / $50.49 / $85.44
| Facility | | $19.00 | $50.49 | $85.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.89 / $11.88 / $23.00
| Professional | | $9.89 | $11.88 | $23.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.43 / $34.71 / $47.38
| Facility | | $21.43 | $34.71 | $47.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.41 / $15.28 / $23.50
| Professional | | $9.41 | $15.28 | $23.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $32.35 / $34.90
| Professional | | $13.19 | $32.35 | $34.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $16.59 / $43.99
| Facility | | $11.96 | $16.59 | $43.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $15.83 / $21.71
| Professional | | $13.19 | $15.83 | $21.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $17.80 / $29.12
| Facility | | $13.19 | $17.80 | $29.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $16.59 / $38.25
| Facility | | $11.96 | $16.59 | $38.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $15.83 / $21.60
| Professional | | $13.19 | $15.83 | $21.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.70 / $54.49
| Facility | | $25.72 | $40.70 | $54.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.87 / $16.80 / $32.82
| Professional | | $11.87 | $16.80 | $32.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.79 / $19.79 / $21.10
| Facility | | $19.79 | $19.79 | $21.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.54 / $15.83
| Professional | | $5.54 | $7.54 | $15.83 |