- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $48.50 / $111.06
| Facility | | $12.63 | $48.50 | $111.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $11.74 / $23.03
| Professional | | $8.69 | $11.74 | $23.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $9.06 / $24.14
| Professional | | $7.83 | $9.06 | $24.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.70 / $25.32 / $64.17
| Facility | | $13.70 | $25.32 | $64.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $12.27 / $24.80
| Professional | | $6.44 | $12.27 | $24.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $26.71 / $98.36
| Facility | | $9.02 | $26.71 | $98.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $17.42 / $26.30
| Professional | | $9.11 | $17.42 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $12.59 / $13.84
| Professional | | $9.28 | $12.59 | $13.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.70 / $28.81
| Facility | | $13.05 | $13.70 | $28.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $19.57 / $35.89
| Facility | | $13.05 | $19.57 | $35.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $11.75
| Professional | | $11.75 | $11.75 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.01 / $21.53 / $35.89
| Facility | | $15.01 | $21.53 | $35.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $13.05 / $35.03
| Professional | | $9.78 | $13.05 | $35.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $5.48 / $14.62
| Professional | | $5.48 | $5.48 | $14.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.87 / $5.87 / $6.76
| Professional | | $5.87 | $5.87 | $6.76 |