- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $32.40 / $74.55
| Facility | | $16.78 | $32.40 | $74.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $10.41 / $14.65
| Professional | | $10.08 | $10.41 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.80 / $30.46 / $41.54
| Facility | | $18.80 | $30.46 | $41.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $13.22 / $20.56
| Professional | | $8.35 | $13.22 | $20.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $28.39 / $30.63
| Professional | | $11.57 | $28.39 | $30.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.49 / $14.54 / $38.18
| Facility | | $10.49 | $14.54 | $38.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $13.88 / $23.27
| Professional | | $11.57 | $13.88 | $23.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $14.46 / $25.63
| Facility | | $11.57 | $14.46 | $25.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.49 / $14.54 / $33.54
| Facility | | $10.49 | $14.54 | $33.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $14.46 / $18.94
| Professional | | $11.57 | $14.46 | $18.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.56 / $35.70 / $47.80
| Facility | | $22.56 | $35.70 | $47.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $14.74 / $28.72
| Professional | | $10.43 | $14.74 | $28.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.62 / $13.88
| Professional | | $4.86 | $6.62 | $13.88 |