- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $21.88 / $181.97
| Professional | | $8.91 | $21.88 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $31.62 / $43.65
| Facility | | $26.92 | $31.62 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $48.98
| Professional | | $9.77 | $16.22 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.23 / $30.20
| Professional | | $8.32 | $10.23 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $67.61 / $67.61
| Facility | | $67.61 | $67.61 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $18.20 / $57.54
| Professional | | $7.76 | $18.20 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $27.54 / $37.15
| Professional | | $11.48 | $27.54 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $30.20 / $47.86
| Professional | | $25.12 | $30.20 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $131.83 / $131.83
| Facility | | $131.83 | $131.83 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $208.93 / $208.93
| Professional | | $138.04 | $208.93 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $30.90 / $47.86
| Facility | | $16.98 | $30.90 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $21.38 / $58.88
| Professional | | $7.94 | $21.38 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $97.72
| Professional | | $97.72 | $97.72 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $173.78
| Professional | | $21.88 | $21.88 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $16.60 / $64.57
| Professional | | $8.71 | $16.60 | $64.57 |