- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.63 / $62.32
| Professional | | $6.92 | $10.63 | $62.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $1.35 / $36.02
| Facility | | $1.22 | $1.35 | $36.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.30 / $17.20 / $27.76
| Professional | | $13.30 | $17.20 | $27.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.78 / $28.78 / $28.78
| Facility | | $28.78 | $28.78 | $28.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $11.67 / $20.05
| Professional | | $10.94 | $11.67 | $20.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $14.58 / $19.32
| Facility | | $14.58 | $14.58 | $19.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $14.58 / $31.43
| Professional | | $12.39 | $14.58 | $31.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.39 / $17.39 / $20.88
| Professional | | $17.39 | $17.39 | $20.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.59 / $17.02 / $32.83
| Professional | | $14.59 | $17.02 | $32.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $104.64 / $104.64
| Facility | | $76.00 | $104.64 | $104.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.66 / $14.58 / $24.30
| Facility | | $6.66 | $14.58 | $24.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $14.58 / $19.14
| Professional | | $12.39 | $14.58 | $19.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.76 / $40.76 / $40.76
| Professional | | $40.76 | $40.76 | $40.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $17.39
| Professional | | $16.89 | $16.89 | $17.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $10.96 / $26.37
| Professional | | $9.61 | $10.96 | $26.37 |