- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.40 / $43.16 / $123.30
| Facility | | $15.40 | $43.16 | $123.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $12.56 / $17.21
| Professional | | $11.51 | $12.56 | $17.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $9.99 / $22.30
| Professional | | $8.63 | $9.99 | $22.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.71 / $15.83 / $25.47
| Facility | | $12.71 | $15.83 | $25.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $7.11 / $15.54
| Professional | | $7.11 | $7.11 | $15.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.07 / $9.07 / $9.07
| Facility | | $9.07 | $9.07 | $9.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $11.51 / $16.82
| Professional | | $11.51 | $11.51 | $16.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.55 / $15.11 / $19.43
| Facility | | $11.55 | $15.11 | $19.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $14.39 / $23.70
| Professional | | $9.35 | $14.39 | $23.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $14.81 / $32.46
| Facility | | $9.35 | $14.81 | $32.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.26 / $11.55 / $20.95
| Professional | | $7.26 | $11.55 | $20.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $30.87 / $101.50
| Facility | | $11.88 | $30.87 | $101.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $11.28 / $24.23
| Professional | | $5.76 | $11.28 | $24.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $11.86 / $17.26
| Professional | | $10.79 | $11.86 | $17.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.63 / $20.11
| Professional | | $6.04 | $8.63 | $20.11 |