- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.36 / $22.86 / $33.21
| Professional | | $14.36 | $22.86 | $33.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.25 / $13.76 / $31.22
| Professional | | $11.25 | $13.76 | $31.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.68 / $31.11 / $43.48
| Professional | | $12.68 | $31.11 | $43.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.70 / $29.94 / $54.95
| Professional | | $18.70 | $29.94 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.92 / $23.27 / $24.56
| Facility | | $20.92 | $23.27 | $24.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.56 / $17.52 / $49.34
| Professional | | $11.56 | $17.52 | $49.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.45 / $130.72 / $130.72
| Facility | | $61.45 | $130.72 | $130.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.78 / $143.78 / $207.00
| Professional | | $143.78 | $143.78 | $207.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.79 / $29.76 / $43.66
| Facility | | $19.79 | $29.76 | $43.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.04 / $36.75 / $60.30
| Professional | | $26.04 | $36.75 | $60.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.43 / $30.36 / $93.03
| Professional | | $22.43 | $30.36 | $93.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.57 / $29.76 / $46.66
| Facility | | $19.57 | $29.76 | $46.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $24.56 / $58.40
| Professional | | $11.98 | $24.56 | $58.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.81 / $19.76 / $52.70
| Professional | | $15.81 | $19.76 | $52.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $13.25 / $24.29
| Professional | | $10.28 | $13.25 | $24.29 |