- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $24.13 / $52.72
| Professional | | $16.60 | $24.13 | $52.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.86 / $17.98 / $20.19
| Professional | | $15.86 | $17.98 | $20.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.52 / $19.55 / $46.53
| Professional | | $15.52 | $19.55 | $46.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.66 / $27.66 / $27.66
| Facility | | $27.66 | $27.66 | $27.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.66 / $27.66 / $28.14
| Professional | | $27.66 | $27.66 | $28.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Facility | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $24.04 / $70.00
| Professional | | $13.05 | $24.04 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $11.71
| Facility | | $11.71 | $11.71 | $11.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.78 / $23.01 / $50.44
| Professional | | $15.78 | $23.01 | $50.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.73 / $23.91 / $35.44
| Professional | | $15.73 | $23.91 | $35.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.16 / $23.48 / $32.88
| Professional | | $23.16 | $23.48 | $32.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Facility | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $24.72 / $69.17
| Professional | | $13.43 | $24.72 | $69.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $20.94 / $49.57
| Professional | | $13.11 | $20.94 | $49.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $23.91 / $40.81
| Professional | | $17.57 | $23.91 | $40.81 |