- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.20 / $26.07 / $29.19
| Facility | | $21.20 | $26.07 | $29.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.73 / $23.50 / $29.08
| Professional | | $15.73 | $23.50 | $29.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.12 / $33.88 / $47.55
| Professional | | $31.12 | $33.88 | $47.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $40.26 / $40.26
| Facility | | $40.26 | $40.26 | $40.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.16 / $29.16 / $38.15
| Professional | | $29.16 | $29.16 | $38.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.71 / $44.65 / $66.81
| Professional | | $32.71 | $44.65 | $66.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.20 / $23.57 / $29.19
| Facility | | $21.20 | $23.57 | $29.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $23.95 / $36.72
| Professional | | $18.57 | $23.95 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.49 / $29.68 / $72.00
| Professional | | $24.49 | $29.68 | $72.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $40.26 / $40.26
| Facility | | $40.26 | $40.26 | $40.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.16 / $29.16 / $41.91
| Professional | | $29.16 | $29.16 | $41.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $22.48 / $25.33
| Facility | | $21.09 | $22.48 | $25.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.84 / $23.41 / $26.55
| Professional | | $21.84 | $23.41 | $26.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.47 / $80.18 / $99.56
| Facility | | $60.47 | $80.18 | $99.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.20 / $30.97 / $51.47
| Professional | | $23.20 | $30.97 | $51.47 |