- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.75 / $15.97 / $17.88
| Facility | | $15.75 | $15.97 | $17.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.90 / $17.23 / $31.69
| Professional | | $14.90 | $17.23 | $31.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.67 / $22.95 / $41.60
| Professional | | $14.67 | $22.95 | $41.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.61 / $28.11 / $66.73
| Facility | | $18.61 | $28.11 | $66.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $20.04 / $20.04
| Professional | | $20.04 | $20.04 | $20.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.14 / $19.67 / $25.45
| Professional | | $17.14 | $19.67 | $25.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.36 / $18.36 / $18.36
| Facility | | $18.36 | $18.36 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.49 / $28.49 / $28.49
| Facility | | $28.49 | $28.49 | $28.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.92 / $9.92 / $9.92
| Professional | | $9.92 | $9.92 | $9.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.35 / $138.97 / $154.32
| Facility | | $49.35 | $138.97 | $154.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $196.00 / $355.12 / $369.32
| Professional | | $196.00 | $355.12 | $369.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $26.58 / $75.44
| Facility | | $16.18 | $26.58 | $75.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.66 / $23.09 / $45.00
| Professional | | $20.66 | $23.09 | $45.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.82 / $27.28 / $42.54
| Professional | | $23.82 | $27.28 | $42.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.43 / $26.58 / $75.44
| Facility | | $16.43 | $26.58 | $75.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.92 / $9.92 / $20.22
| Professional | | $9.92 | $9.92 | $20.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $11.03 / $16.72
| Professional | | $8.60 | $11.03 | $16.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.31 / $24.31 / $32.82
| Professional | | $24.31 | $24.31 | $32.82 |