- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.88 / $30.34 / $91.37
| Facility | | $15.88 | $30.34 | $91.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.32 / $15.88 / $28.35
| Professional | | $11.32 | $15.88 | $28.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.73 / $29.56 / $80.23
| Facility | | $17.73 | $29.56 | $80.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $15.37 / $26.00
| Professional | | $7.11 | $15.37 | $26.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.57 / $34.59 / $49.41
| Facility | | $17.57 | $34.59 | $49.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $19.41 / $24.26
| Professional | | $9.99 | $19.41 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $13.03
| Professional | | $12.02 | $12.02 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $17.73 / $37.28
| Facility | | $16.89 | $17.73 | $37.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $25.34 / $46.45
| Facility | | $16.89 | $25.34 | $46.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $17.73 / $23.98
| Professional | | $15.20 | $17.73 | $23.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.42 / $27.72 / $46.45
| Facility | | $19.42 | $27.72 | $46.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.67 / $16.89 / $45.81
| Professional | | $12.67 | $16.89 | $45.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $18.92
| Professional | | $7.09 | $7.09 | $18.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.60 / $7.60 / $8.75
| Professional | | $7.60 | $7.60 | $8.75 |