- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $16.36 / $88.35
| Professional | | $10.93 | $16.36 | $88.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.79 / $1.98 / $50.71
| Facility | | $1.79 | $1.98 | $50.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.82 / $25.32 / $39.09
| Professional | | $19.82 | $25.32 | $39.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.55 / $41.55 / $41.55
| Facility | | $41.55 | $41.55 | $41.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $16.55 / $28.23
| Professional | | $15.48 | $16.55 | $28.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.72 / $20.72 / $27.88
| Facility | | $20.72 | $20.72 | $27.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.61 / $20.72 / $36.75
| Professional | | $17.61 | $20.72 | $36.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.84 / $23.84 / $28.61
| Professional | | $23.84 | $23.84 | $28.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.90 / $24.38 / $47.02
| Professional | | $20.90 | $24.38 | $47.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $148.63 / $148.63
| Facility | | $76.00 | $148.63 | $148.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $20.72 / $35.09
| Facility | | $9.77 | $20.72 | $35.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.61 / $20.72 / $24.62
| Professional | | $17.61 | $20.72 | $24.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.79 / $57.79 / $57.79
| Professional | | $57.79 | $57.79 | $57.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.78 / $23.78 / $23.84
| Professional | | $23.78 | $23.78 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $15.28 / $23.57
| Professional | | $11.88 | $15.28 | $23.57 |