- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $12.86 / $22.46
| Professional | | $8.08 | $12.86 | $22.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $1.63 / $42.25
| Facility | | $1.47 | $1.63 | $42.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.73 / $21.13 / $32.57
| Professional | | $15.73 | $21.13 | $32.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.83 / $34.83 / $34.83
| Facility | | $34.83 | $34.83 | $34.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.90 / $13.81 / $23.52
| Professional | | $12.90 | $13.81 | $23.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $17.30 / $23.38
| Facility | | $17.30 | $17.30 | $23.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.71 / $14.71 / $38.44
| Professional | | $14.71 | $14.71 | $38.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.86 / $19.86 / $23.83
| Professional | | $19.86 | $19.86 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.50 / $20.41 / $39.36
| Professional | | $17.50 | $20.41 | $39.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $124.16 / $124.16
| Facility | | $76.00 | $124.16 | $124.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $17.30 / $29.44
| Facility | | $8.06 | $17.30 | $29.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.71 / $14.71 / $17.30
| Professional | | $14.71 | $14.71 | $17.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.23 / $48.23 / $48.23
| Professional | | $48.23 | $48.23 | $48.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.80 / $19.80 / $19.86
| Professional | | $19.80 | $19.80 | $19.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $12.75 / $21.85
| Professional | | $9.85 | $12.75 | $21.85 |