- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.97 / $18.57 / $30.18
| Professional | | $11.97 | $18.57 | $30.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $2.36 / $56.10
| Facility | | $2.13 | $2.36 | $56.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.80 / $28.33 / $43.24
| Professional | | $22.80 | $28.33 | $43.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.48 / $49.48 / $49.48
| Facility | | $49.48 | $49.48 | $49.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.04 / $18.71 / $33.20
| Professional | | $17.04 | $18.71 | $33.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.28 / $23.28 / $33.20
| Facility | | $23.28 | $23.28 | $33.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.79 / $23.28 / $40.50
| Professional | | $19.79 | $23.28 | $40.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $29.91 / $35.89
| Professional | | $29.91 | $29.91 | $35.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.13 / $28.15 / $54.30
| Professional | | $24.13 | $28.15 | $54.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $167.12 / $167.12
| Facility | | $76.00 | $167.12 | $167.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $23.78 / $41.79
| Facility | | $11.63 | $23.78 | $41.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.79 / $23.28 / $27.37
| Professional | | $19.79 | $23.28 | $27.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.33 / $65.33 / $65.33
| Professional | | $65.33 | $65.33 | $65.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $29.91
| Professional | | $26.30 | $26.30 | $29.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.22 / $17.27 / $34.92
| Professional | | $14.22 | $17.27 | $34.92 |