- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $38.82 / $91.16
| Facility | | $16.85 | $38.82 | $91.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $15.28 / $29.38
| Professional | | $13.61 | $15.28 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.69 / $32.86 / $80.19
| Facility | | $17.69 | $32.86 | $80.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $15.33 / $29.05
| Professional | | $8.32 | $15.33 | $29.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $33.59 / $49.28
| Facility | | $11.66 | $33.59 | $49.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $22.33 / $33.60
| Professional | | $11.71 | $22.33 | $33.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $16.26 / $17.88
| Professional | | $12.00 | $16.26 | $17.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $17.69 / $37.20
| Facility | | $16.85 | $17.69 | $37.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $25.28 / $46.34
| Facility | | $16.85 | $25.28 | $46.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.17 / $15.17 / $15.17
| Professional | | $15.17 | $15.17 | $15.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $27.80 / $46.34
| Facility | | $19.38 | $27.80 | $46.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $16.85 / $45.81
| Professional | | $12.64 | $16.85 | $45.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $16.85
| Professional | | $7.08 | $7.08 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $7.58 / $8.73
| Professional | | $7.58 | $7.58 | $8.73 |