- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.53 / $24.64 / $48.45
| Professional | | $20.53 | $24.64 | $48.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $37.15 / $60.81
| Professional | | $35.00 | $37.15 | $60.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.84 / $26.84 / $27.53
| Professional | | $26.84 | $26.84 | $27.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.00 / $35.15 / $77.06
| Professional | | $27.00 | $35.15 | $77.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.71 / $61.71 / $61.71
| Facility | | $61.71 | $61.71 | $61.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.08 / $61.27 / $100.81
| Professional | | $25.08 | $61.27 | $100.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.80 / $31.39 / $41.67
| Professional | | $27.80 | $31.39 | $41.67 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $15.47 / $16.36 / $16.36
| Professional | 52 | $15.47 | $16.36 | $16.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.84 / $27.53 / $39.90
| Professional | | $26.84 | $27.53 | $39.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.16 / $23.16 / $31.20
| Professional | | $23.16 | $23.16 | $31.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.97 / $32.26 / $54.63
| Professional | | $23.97 | $32.26 | $54.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.11 / $55.11 / $61.71
| Facility | | $55.11 | $55.11 | $61.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.63 / $65.23 / $104.01
| Professional | | $31.63 | $65.23 | $104.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.22 / $38.90 / $40.68
| Professional | | $33.22 | $38.90 | $40.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.00 / $38.47 / $47.28
| Professional | | $29.00 | $38.47 | $47.28 |