- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $13.49
| Facility | | $7.94 | $7.94 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $10.96
| Professional | | $6.03 | $7.94 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $10.96 / $23.44
| Professional | | $8.51 | $10.96 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $26.30 / $41.69
| Facility | | $19.95 | $26.30 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.55 / $25.12
| Professional | | $7.76 | $9.55 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $9.33 / $17.38
| Facility | | $7.59 | $9.33 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $18.20 / $25.12
| Professional | | $12.59 | $18.20 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $9.55 / $19.05
| Facility | | $7.76 | $9.55 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $69.18
| Professional | | $9.33 | $15.85 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $18.20 / $28.18
| Professional | | $10.47 | $18.20 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $79.43
| Facility | | $17.38 | $17.38 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $19.50 / $70.79
| Professional | | $7.76 | $19.50 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.80 / $30.90
| Professional | | $11.48 | $13.80 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.59 / $27.54
| Professional | | $8.51 | $12.59 | $27.54 |