- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.71 / $26.72 / $28.67
| Facility | | $24.71 | $26.72 | $28.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $25.32 / $33.09
| Professional | | $14.68 | $25.32 | $33.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.45 / $85.43 / $100.88
| Facility | | $49.45 | $85.43 | $100.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $19.36 / $26.78
| Professional | | $11.33 | $19.36 | $26.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $23.52 / $37.15
| Professional | | $11.01 | $23.52 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.75 / $13.75 / $13.75
| Professional | | $13.75 | $13.75 | $13.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.82 / $58.21 / $58.21
| Professional | | $47.82 | $58.21 | $58.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $5.00 / $12.40
| Professional | | $3.50 | $5.00 | $12.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.54 / $40.54 / $40.54
| Facility | | $40.54 | $40.54 | $40.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.27 / $48.50 / $67.41
| Professional | | $43.27 | $48.50 | $67.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.28 / $38.28 / $38.28
| Facility | | $38.28 | $38.28 | $38.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $18.27 / $37.96
| Professional | | $2.67 | $18.27 | $37.96 |