- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $41.80 / $74.90
| Facility | | $25.72 | $41.80 | $74.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.45 / $26.70 / $39.76
| Professional | | $17.45 | $26.70 | $39.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.25 / $18.10 / $73.59
| Professional | | $13.25 | $18.10 | $73.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.56 / $30.56 / $30.56
| Facility | | $30.56 | $30.56 | $30.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.57 / $30.56 / $30.56
| Professional | | $15.57 | $30.56 | $30.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $47.86 / $47.86
| Facility | | $47.86 | $47.86 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.32 / $22.32 / $22.32
| Professional | | $22.32 | $22.32 | $22.32 |
- 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
- $28.76 / $33.90 / $50.73
| Professional | | $28.76 | $33.90 | $50.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.26 / $22.83 / $41.91
| Professional | | $21.26 | $22.83 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.09 / $22.09 / $25.39
| Professional | | $22.09 | $22.09 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.21 / $14.21 / $14.29
| Professional | | $14.21 | $14.21 | $14.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $47.86 / $47.86
| Facility | | $47.86 | $47.86 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $22.32 / $59.65
| Professional | | $5.44 | $22.32 | $59.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.69 / $18.50 / $46.18
| Professional | | $12.69 | $18.50 | $46.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.26 / $23.38 / $64.39
| Professional | | $21.26 | $23.38 | $64.39 |