- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $22.74 / $50.93
| Facility | | $12.90 | $22.74 | $50.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.26 / $24.33
| Professional | | $7.84 | $10.26 | $24.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $12.39 / $33.65
| Professional | | $5.86 | $12.39 | $33.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.15 / $15.15 / $15.15
| Facility | | $15.15 | $15.15 | $15.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $15.15 / $15.15
| Professional | | $11.06 | $15.15 | $15.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.31 / $30.39 / $36.61
| Facility | | $21.31 | $30.39 | $36.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $7.97 / $7.97
| Professional | | $7.97 | $7.97 | $7.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.70 / $37.70 / $37.70
| Facility | | $37.70 | $37.70 | $37.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.10 / $23.65 / $39.47
| Professional | | $19.10 | $23.65 | $39.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.10 / $25.19 / $39.15
| Professional | | $15.10 | $25.19 | $39.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.31 / $21.31 / $36.61
| Facility | | $21.31 | $21.31 | $36.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $7.97 / $31.15
| Professional | | $7.97 | $7.97 | $31.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $9.07 / $22.68
| Professional | | $6.35 | $9.07 | $22.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.34 / $19.93 / $47.98
| Professional | | $16.34 | $19.93 | $47.98 |