- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $26.91 / $75.98
| Facility | | $13.79 | $26.91 | $75.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $13.79 / $33.51
| Professional | | $10.62 | $13.79 | $33.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $26.75 / $150.44
| Facility | | $14.48 | $26.75 | $150.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $12.41 / $22.65
| Professional | | $6.17 | $12.41 | $22.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.67 / $28.22 / $40.11
| Facility | | $8.67 | $28.22 | $40.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $17.94 / $24.84
| Professional | | $8.61 | $17.94 | $24.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $13.30 / $14.63
| Professional | | $9.81 | $13.30 | $14.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $14.48 / $30.44
| Facility | | $13.79 | $14.48 | $30.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $20.69 / $37.92
| Facility | | $13.79 | $20.69 | $37.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.41 / $12.41 / $12.41
| Professional | | $12.41 | $12.41 | $12.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.86 / $22.63 / $37.92
| Facility | | $15.86 | $22.63 | $37.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $13.79 / $36.83
| Professional | | $10.34 | $13.79 | $36.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $5.79 / $13.79
| Professional | | $5.79 | $5.79 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $6.21 / $7.14
| Professional | | $6.21 | $6.21 | $7.14 |