- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $20.42 / $58.88
| Facility | | $16.60 | $20.42 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $20.42
| Professional | | $7.94 | $12.02 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $34.67 / $47.86
| Facility | | $21.38 | $34.67 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $13.18 / $23.44
| Professional | | $8.71 | $13.18 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $28.18 / $33.11
| Professional | | $13.18 | $28.18 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $18.20
| Facility | | $13.18 | $13.18 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $16.60 / $22.39
| Professional | | $13.18 | $16.60 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $25.12
| Facility | | $13.18 | $13.18 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.05 / $43.65
| Facility | | $12.88 | $19.05 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $16.60 / $79.43
| Professional | | $13.18 | $16.60 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $39.81 / $54.95
| Facility | | $19.95 | $39.81 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.18 / $16.98
| Professional | | $10.00 | $13.18 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $20.89
| Facility | | $15.85 | $15.85 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.59 / $18.62
| Professional | | $5.50 | $7.59 | $18.62 |