- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $28.54 / $81.28
| Facility | | $12.01 | $28.54 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.53 / $16.46 / $32.36
| Professional | | $10.53 | $16.46 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $7.43 / $7.43
| Professional | | $7.43 | $7.43 | $7.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $24.78 / $112.08
| Facility | | $13.01 | $24.78 | $112.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $11.27 / $23.54
| Professional | | $6.12 | $11.27 | $23.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.58 / $25.36 / $39.67
| Facility | | $8.58 | $25.36 | $39.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $16.52 / $24.84
| Professional | | $8.61 | $16.52 | $24.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $11.95 / $13.14
| Professional | | $8.82 | $11.95 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $13.01 / $27.35
| Facility | | $12.39 | $13.01 | $27.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $18.59 / $34.07
| Facility | | $12.39 | $18.59 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $11.15 / $11.15
| Professional | | $11.15 | $11.15 | $11.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $20.44 / $34.07
| Facility | | $14.25 | $20.44 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $12.39 / $33.22
| Professional | | $9.28 | $12.39 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $5.20 / $12.39
| Professional | | $5.20 | $5.20 | $12.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $5.58 / $6.42
| Professional | | $5.58 | $5.58 | $6.42 |