- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.41 / $33.43 / $63.70
| Facility | | $16.41 | $33.43 | $63.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $17.22 / $27.82
| Professional | | $10.74 | $17.22 | $27.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $17.75 / $56.66
| Professional | | $10.00 | $17.75 | $56.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.26 / $20.26 / $20.26
| Facility | | $20.26 | $20.26 | $20.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $20.26 / $20.26
| Professional | | $14.79 | $20.26 | $20.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.99 / $47.24 / $49.38
| Facility | | $40.99 | $47.24 | $49.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.65 / $10.65 / $10.65
| Professional | | $10.65 | $10.65 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.40 / $36.40 / $36.40
| Facility | | $36.40 | $36.40 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.26 / $25.83 / $43.96
| Professional | | $20.26 | $25.83 | $43.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.64 / $20.01 / $36.74
| Professional | | $18.64 | $20.01 | $36.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.24 / $47.24 / $49.38
| Facility | | $47.24 | $47.24 | $49.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $10.65 / $43.98
| Professional | | $6.00 | $10.65 | $43.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.16 / $30.39
| Professional | | $8.51 | $12.16 | $30.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.64 / $20.26 / $58.53
| Professional | | $18.64 | $20.26 | $58.53 |