- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.83 / $12.64 / $47.29
| Professional | | $9.83 | $12.64 | $47.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $19.93 / $29.05
| Facility | | $16.94 | $19.93 | $29.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $12.89 / $31.58
| Professional | | $8.06 | $12.89 | $31.58 |
- 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
- $43.26 / $43.26 / $43.26
| Facility | | $43.26 | $43.26 | $43.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $12.90 / $42.91
| Professional | | $7.74 | $12.90 | $42.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $18.19 / $24.56
| Professional | | $9.65 | $18.19 | $24.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.37 / $20.01 / $31.83
| Professional | | $16.37 | $20.01 | $31.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $85.13 / $86.40
| Facility | | $50.00 | $85.13 | $86.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.00 / $91.00 / $136.43
| Professional | | $91.00 | $91.00 | $136.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.85 / $21.83 / $43.26
| Facility | | $13.85 | $21.83 | $43.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $18.30 / $31.13
| Professional | | $7.89 | $18.30 | $31.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.07 / $53.07 / $53.07
| Professional | | $53.07 | $53.07 | $53.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $14.55 / $144.75
| Professional | | $14.55 | $14.55 | $144.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $9.08 / $46.82
| Professional | | $8.81 | $9.08 | $46.82 |