- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.04 / $25.81 / $88.16
| Facility | | $15.04 | $25.81 | $88.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $15.04 / $25.65
| Professional | | $10.72 | $15.04 | $25.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $28.00 / $76.00
| Facility | | $16.80 | $28.00 | $76.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.40 / $12.00 / $27.39
| Professional | | $6.40 | $12.00 | $27.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $23.50 / $41.60
| Facility | | $8.30 | $23.50 | $41.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $18.17 / $23.86
| Professional | | $8.48 | $18.17 | $23.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.39 / $15.44 / $16.98
| Professional | | $11.39 | $15.44 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $16.80 / $35.32
| Facility | | $16.00 | $16.80 | $35.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $24.00 / $44.00
| Facility | | $16.00 | $24.00 | $44.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.40 / $14.40 / $14.40
| Professional | | $14.40 | $14.40 | $14.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.39 / $26.26 / $44.00
| Facility | | $18.39 | $26.26 | $44.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $16.00 / $43.11
| Professional | | $12.00 | $16.00 | $43.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $6.72 / $17.92
| Professional | | $6.72 | $6.72 | $17.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $7.20 / $8.28
| Professional | | $7.20 | $7.20 | $8.28 |