- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $8.89 / $27.22
| Professional | | $6.95 | $8.89 | $27.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.13 / $1.26 / $32.90
| Facility | | $1.13 | $1.26 | $32.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $16.53 / $25.42
| Professional | | $12.59 | $16.53 | $25.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.82 / $22.82 / $22.82
| Facility | | $22.82 | $22.82 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $10.42 / $19.84
| Professional | | $10.42 | $10.42 | $19.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.70 / $13.51 / $39.35
| Facility | | $11.70 | $13.51 | $39.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.51 / $22.50
| Professional | | $11.48 | $13.51 | $22.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $18.38
| Professional | | $15.32 | $15.32 | $18.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $13.50 / $26.03
| Professional | | $11.57 | $13.50 | $26.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.51 / $96.41 / $96.41
| Facility | | $45.51 | $96.41 | $96.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $13.51 / $19.29
| Facility | | $7.20 | $13.51 | $19.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.51 / $17.28
| Professional | | $11.48 | $13.51 | $17.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.38 / $36.38 / $36.38
| Professional | | $36.38 | $36.38 | $36.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $15.42
| Professional | | $15.32 | $15.32 | $15.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $9.91 / $16.48
| Professional | | $8.65 | $9.91 | $16.48 |