- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.81 / $12.47 / $12.47
| Facility | | $9.81 | $12.47 | $12.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $12.53 / $23.48
| Professional | | $7.65 | $12.53 | $23.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $12.29 / $12.29
| Facility | | $11.43 | $12.29 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $13.56 / $35.83
| Professional | | $7.37 | $13.56 | $35.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.73 / $12.27 / $27.95
| Professional | | $9.73 | $12.27 | $27.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.43 / $21.43 / $30.39
| Professional | | $21.43 | $21.43 | $30.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.72 / $36.00 / $44.19
| Professional | | $32.72 | $36.00 | $44.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.73 / $27.93 / $47.46
| Professional | | $20.73 | $27.93 | $47.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.82 / $128.50 / $131.29
| Facility | | $45.82 | $128.50 | $131.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.60 / $123.60 / $204.83
| Professional | | $123.60 | $123.60 | $204.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.20 / $32.34 / $32.34
| Professional | | $21.20 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $17.95 / $34.18
| Facility | | $8.44 | $17.95 | $34.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.12 / $21.43 / $40.29
| Professional | | $15.12 | $21.43 | $40.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.92 / $43.92 / $43.92
| Professional | | $43.92 | $43.92 | $43.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $14.94 / $47.45
| Professional | | $9.02 | $14.94 | $47.45 |