- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $18.25 / $19.05
| Facility | | $8.03 | $18.25 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.15 / $8.11 / $19.25
| Professional | | $7.15 | $8.11 | $19.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.42 / $80.00 / $80.00
| Facility | | $12.42 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $12.53 / $82.82
| Professional | | $10.19 | $12.53 | $82.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.99 / $9.99 / $9.99
| Facility | | $9.99 | $9.99 | $9.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $8.49 / $12.34
| Professional | | $8.49 | $8.49 | $12.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $16.97 / $30.34
| Facility | | $12.76 | $16.97 | $30.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $18.39 / $30.61
| Professional | | $12.76 | $18.39 | $30.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $10.89 / $11.97
| Professional | | $9.80 | $10.89 | $11.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $13.85 / $16.63
| Facility | | $11.26 | $13.85 | $16.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.41 / $14.18 / $16.63
| Professional | | $12.41 | $14.18 | $16.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $12.42 / $22.96
| Facility | | $11.77 | $12.42 | $22.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.77 / $13.43 / $20.39
| Professional | | $11.77 | $13.43 | $20.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $12.05 / $15.60
| Professional | | $11.28 | $12.05 | $15.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $7.05 / $13.46
| Professional | | $6.51 | $7.05 | $13.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.27 / $8.27
| Professional | | $7.08 | $8.27 | $8.27 |