- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.28 / $22.92
| Professional | | $7.41 | $10.28 | $22.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $96.41 / $96.41
| Facility | | $18.05 | $96.41 | $96.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $16.68 / $22.51
| Professional | | $1.94 | $16.68 | $22.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.51 / $13.51 / $17.73
| Facility | | $13.51 | $13.51 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.51 / $17.73
| Professional | | $11.48 | $13.51 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.19 / $20.19 / $20.19
| Facility | | $20.19 | $20.19 | $20.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $20.19 / $20.19
| Professional | | $20.19 | $20.19 | $20.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $17.39 / $19.12
| Professional | | $13.34 | $17.39 | $19.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.82 / $20.19 / $22.49
| Facility | | $18.82 | $20.19 | $22.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.28 / $20.19 / $22.21
| Professional | | $19.28 | $20.19 | $22.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $18.05 / $18.05
| Facility | | $1.82 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $16.67 / $18.82
| Professional | | $1.67 | $16.67 | $18.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.61 / $19.61 / $19.61
| Facility | | $19.61 | $19.61 | $19.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.59 / $1.59 / $1.94
| Professional | | $1.59 | $1.59 | $1.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $10.31 / $18.36
| Professional | | $9.61 | $10.31 | $18.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.43 / $15.43 / $15.43
| Professional | | $15.43 | $15.43 | $15.43 |