- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.39 / $42.64 / $122.36
| Facility | | $18.39 | $42.64 | $122.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.64 / $23.39 / $119.42
| Professional | | $16.64 | $23.39 | $119.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.54 / $39.11 / $113.00
| Facility | | $20.54 | $39.11 | $113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $17.60 / $31.72
| Professional | | $9.66 | $17.60 | $31.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $40.04 / $57.20
| Facility | | $13.54 | $40.04 | $57.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.60 / $25.27 / $38.96
| Professional | | $13.60 | $25.27 | $38.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.92 / $18.87 / $20.75
| Professional | | $13.92 | $18.87 | $20.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $43.18
| Facility | | $19.55 | $19.55 | $43.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $29.34 / $53.79
| Facility | | $19.55 | $29.34 | $53.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $17.60 / $17.60
| Professional | | $17.60 | $17.60 | $17.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.49 / $32.27 / $53.79
| Facility | | $22.49 | $32.27 | $53.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.67 / $19.55 / $52.99
| Professional | | $14.67 | $19.55 | $52.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $23.47 / $23.47
| Facility | | $19.55 | $23.47 | $23.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $8.80 / $23.47
| Professional | | $8.22 | $8.80 | $23.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $8.80 / $10.13
| Professional | | $8.80 | $8.80 | $10.13 |