- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $10.86 / $12.33
| Facility | | $8.36 | $10.86 | $12.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $11.01 / $16.91
| Professional | | $9.10 | $11.01 | $16.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $15.61 / $45.86
| Facility | | $9.58 | $15.61 | $45.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $8.94 / $8.94
| Professional | | $7.98 | $8.94 | $8.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.46 / $13.41 / $20.73
| Professional | | $10.46 | $13.41 | $20.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $16.76 / $16.76
| Facility | | $16.76 | $16.76 | $16.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.99 / $11.60 / $14.33
| Facility | | $9.99 | $11.60 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $13.65
| Professional | | $9.86 | $9.86 | $13.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.11 / $91.72 / $91.72
| Facility | | $89.11 | $91.72 | $91.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.58 / $95.58 / $144.83
| Professional | | $95.58 | $95.58 | $144.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $12.59 / $17.70
| Facility | | $5.28 | $12.59 | $17.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $15.92 / $19.30
| Professional | | $6.52 | $15.92 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $12.00 / $17.42
| Facility | | $5.28 | $12.00 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $16.05
| Professional | | $9.86 | $9.86 | $16.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $8.90 / $11.74
| Professional | | $6.83 | $8.90 | $11.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $9.67 / $16.76
| Professional | | $9.67 | $9.67 | $16.76 |