- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.13 / $25.81 / $88.71
| Facility | | $15.13 | $25.81 | $88.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.05 / $11.05 / $23.83
| Professional | | $8.05 | $11.05 | $23.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.91 / $30.36 / $185.11
| Facility | | $16.91 | $30.36 | $185.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $12.25 / $26.05
| Professional | | $6.44 | $12.25 | $26.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $23.66 / $41.88
| Facility | | $8.30 | $23.66 | $41.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $18.59 / $23.86
| Professional | | $8.48 | $18.59 | $23.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $15.53 / $17.08
| Professional | | $11.46 | $15.53 | $17.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $16.91 / $35.54
| Facility | | $16.10 | $16.91 | $35.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $24.15 / $44.28
| Facility | | $16.10 | $24.15 | $44.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.49 / $14.49 / $14.49
| Professional | | $14.49 | $14.49 | $14.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.52 / $26.42 / $44.28
| Facility | | $18.52 | $26.42 | $44.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $16.10 / $43.11
| Professional | | $12.08 | $16.10 | $43.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $16.10
| Professional | | $6.76 | $6.76 | $16.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $7.25 / $8.34
| Professional | | $7.25 | $7.25 | $8.34 |