- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $12.64 / $177.73
| Professional | | $9.46 | $12.64 | $177.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.74 / $30.29 / $44.15
| Facility | | $25.74 | $30.29 | $44.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $12.89 / $37.92
| Professional | | $9.31 | $12.89 | $37.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $9.35 / $32.56
| Professional | | $6.55 | $9.35 | $32.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.66 / $65.66 / $65.66
| Facility | | $65.66 | $65.66 | $65.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $18.32 / $58.62
| Professional | | $7.74 | $18.32 | $58.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $27.64 / $37.31
| Professional | | $11.50 | $27.64 | $37.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.88 / $30.40 / $48.37
| Professional | | $24.88 | $30.40 | $48.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.09 / $131.29 / $131.29
| Facility | | $48.09 | $131.29 | $131.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.19 / $138.19 / $207.30
| Professional | | $138.19 | $138.19 | $207.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.52 / $33.17 / $51.60
| Facility | | $18.52 | $33.17 | $51.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $30.40 / $52.26
| Professional | | $7.92 | $30.40 | $52.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.01 / $97.01 / $97.01
| Professional | | $97.01 | $97.01 | $97.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.11 / $22.11 / $172.50
| Professional | | $22.11 | $22.11 | $172.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $16.57 / $61.29
| Professional | | $8.81 | $16.57 | $61.29 |