- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.09 / $28.57 / $35.71
| Professional | | $20.09 | $28.57 | $35.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $47.72 / $53.02
| Professional | | $5.30 | $47.72 | $53.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.56 / $35.56 / $46.67
| Facility | | $35.56 | $35.56 | $46.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.23 / $35.56 / $78.75
| Professional | | $30.23 | $35.56 | $78.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.78 / $48.78 / $53.02
| Professional | | $48.78 | $48.78 | $53.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.08 / $36.08 / $36.08
| Professional | | $36.08 | $36.08 | $36.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.09 / $29.99 / $37.97
| Professional | | $20.09 | $29.99 | $37.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.56 / $35.56 / $46.67
| Facility | | $35.56 | $35.56 | $46.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.23 / $35.56 / $78.75
| Professional | | $30.23 | $35.56 | $78.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.30 / $51.89 / $54.17
| Professional | | $43.30 | $51.89 | $54.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.35 / $29.59 / $47.74
| Professional | | $19.35 | $29.59 | $47.74 |