- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $14.13 / $117.49
| Professional | | $8.91 | $14.13 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $21.38 / $29.51
| Facility | | $18.20 | $21.38 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $15.49 / $38.90
| Professional | | $9.12 | $15.49 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.23 / $29.51
| Professional | | $8.32 | $10.23 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $44.67 / $44.67
| Facility | | $44.67 | $44.67 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.02 / $40.74
| Professional | | $7.76 | $12.02 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $18.62 / $25.12
| Professional | | $11.48 | $18.62 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $20.42 / $32.36
| Professional | | $16.60 | $20.42 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $87.10 / $104.71
| Facility | | $87.10 | $87.10 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.63 / $478.63 / $478.63
| Professional | | $478.63 | $478.63 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $22.39 / $44.67
| Facility | | $13.49 | $22.39 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $17.38 / $42.66
| Professional | | $7.76 | $17.38 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $52.48
| Professional | | $52.48 | $52.48 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $173.78
| Professional | | $14.79 | $14.79 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $10.47 / $36.31
| Professional | | $8.71 | $10.47 | $36.31 |