- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.94 / $20.11 / $31.10
| Professional | | $13.94 | $20.11 | $31.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.47 / $27.47 / $27.47
| Professional | | $27.47 | $27.47 | $27.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.80 / $27.22 / $32.11
| Facility | | $22.80 | $27.22 | $32.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $19.14 / $32.49
| Professional | | $12.86 | $19.14 | $32.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.52 / $29.33 / $30.94
| Facility | | $19.52 | $29.33 | $30.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $28.00 / $50.03
| Professional | | $19.55 | $28.00 | $50.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.96 / $111.67 / $111.67
| Facility | | $102.96 | $111.67 | $111.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.06 / $198.13 / $258.23
| Professional | | $146.06 | $198.13 | $258.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.23 / $26.75 / $37.42
| Facility | | $19.23 | $26.75 | $37.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.64 / $33.79 / $34.06
| Professional | | $24.64 | $33.79 | $34.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.01 / $24.59 / $50.65
| Professional | | $16.01 | $24.59 | $50.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.61 / $26.59 / $36.93
| Facility | | $18.61 | $26.59 | $36.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.88 / $30.22 / $45.98
| Professional | | $19.88 | $30.22 | $45.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.48 / $28.68 / $49.62
| Professional | | $22.48 | $28.68 | $49.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.95 / $29.54 / $41.24
| Professional | | $25.95 | $29.54 | $41.24 |