- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $44.67 / $181.97
| Facility | | $11.48 | $44.67 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $11.22 / $44.67
| Professional | | $10.96 | $11.22 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $12.02 / $29.51
| Facility | | $11.48 | $12.02 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.48 / $14.13
| Professional | | $11.22 | $11.48 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $11.22 / $11.22
| Facility | | $10.72 | $11.22 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $11.75
| Professional | | $11.22 | $11.22 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $75.86 / $138.04
| Facility | | $13.49 | $75.86 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $11.75 / $14.13
| Professional | | $9.55 | $11.75 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $17.38 / $20.42
| Facility | | $12.88 | $17.38 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.22 / $14.13
| Professional | | $10.23 | $11.22 | $14.13 |