- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $18.30 / $41.02
| Facility | | $11.87 | $18.30 | $41.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $9.15 / $25.93
| Professional | | $4.45 | $9.15 | $25.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $5.86 / $22.76
| Professional | | $3.66 | $5.86 | $22.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $14.65 / $14.65
| Facility | | $8.78 | $14.65 | $14.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $14.65 / $14.65
| Professional | | $10.69 | $14.65 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.77 / $29.67 / $35.75
| Facility | | $23.77 | $29.67 | $35.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $13.20 / $40.40
| Professional | | $5.14 | $13.20 | $40.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $9.19 / $40.67
| Facility | | $9.19 | $9.19 | $40.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $12.41 / $24.76
| Professional | | $10.26 | $12.41 | $24.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.45 / $13.92 / $26.57
| Professional | | $12.45 | $13.92 | $26.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.77 / $23.77 / $35.75
| Facility | | $23.77 | $23.77 | $35.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $12.65 / $32.97
| Professional | | $5.35 | $12.65 | $32.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.78 / $23.62
| Professional | | $5.99 | $8.78 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.92 / $15.50 / $42.32
| Professional | | $13.92 | $15.50 | $42.32 |