- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $33.88 / $54.95
| Facility | | $13.18 | $33.88 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $26.92 / $66.07
| Professional | | $10.00 | $26.92 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $79.43
| Facility | | $10.96 | $16.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $13.18 / $27.54
| Professional | | $7.94 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $29.51 / $46.77
| Facility | | $23.44 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $14.79
| Professional | | $12.30 | $12.30 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $19.05 / $46.77
| Facility | | $9.55 | $19.05 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $16.22 / $19.95
| Professional | | $8.71 | $16.22 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $56.23 / $7,079.46
| Facility | | $15.85 | $56.23 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $17.38 / $23.44
| Professional | | $13.80 | $17.38 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $34.67
| Professional | | $13.18 | $13.18 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $79.43
| Facility | | $10.96 | $16.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $13.18 / $27.54
| Professional | | $7.94 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $13.18 / $19.50
| Facility | | $6.92 | $13.18 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $10.47 / $27.54
| Professional | | $6.31 | $10.47 | $27.54 |