- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $8.99 / $27.97
| Professional | | $7.00 | $8.99 | $27.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.99 / $1.10 / $27.22
| Facility | | $0.99 | $1.10 | $27.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $13.71 / $28.55
| Professional | | $11.00 | $13.71 | $28.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.06 / $27.06 / $27.06
| Facility | | $27.06 | $27.06 | $27.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.43 / $10.73 / $19.98
| Professional | | $9.43 | $10.73 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.87 / $10.87 / $39.10
| Facility | | $10.87 | $10.87 | $39.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $10.87 / $18.75
| Professional | | $9.24 | $10.87 | $18.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $19.57
| Professional | | $16.30 | $16.30 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.02 / $27.04
| Professional | | $12.02 | $14.02 | $27.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.88 / $80.00 / $80.00
| Facility | | $77.88 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.26 / $11.39 / $22.87
| Facility | | $7.26 | $11.39 | $22.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $10.87 / $16.50
| Professional | | $9.24 | $10.87 | $16.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.90 / $32.90 / $32.90
| Professional | | $32.90 | $32.90 | $32.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $12.76 / $16.30
| Professional | | $12.76 | $12.76 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $8.65 / $17.59
| Professional | | $7.82 | $8.65 | $17.59 |