- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.66 / $10.92 / $64.78
| Professional | | $7.66 | $10.92 | $64.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $1.39 / $37.86
| Facility | | $1.25 | $1.39 | $37.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.89 / $17.64 / $23.29
| Professional | | $13.89 | $17.64 | $23.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.09 / $29.09 / $29.09
| Facility | | $29.09 | $29.09 | $29.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.14 / $14.65 / $23.60
| Professional | | $12.14 | $14.65 | $23.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $19.52
| Facility | | $14.57 | $14.57 | $19.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $14.57 / $25.88
| Professional | | $12.38 | $14.57 | $25.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.02 / $19.02 / $22.82
| Professional | | $19.02 | $19.02 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $16.37 / $31.56
| Professional | | $14.03 | $16.37 | $31.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $104.55 / $105.40
| Facility | | $76.00 | $104.55 | $105.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $14.57 / $24.58
| Facility | | $7.94 | $14.57 | $24.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $14.57 / $17.01
| Professional | | $12.38 | $14.57 | $17.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.38 / $42.38 / $42.38
| Professional | | $42.38 | $42.38 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.75 / $17.75 / $19.02
| Professional | | $17.75 | $17.75 | $19.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $11.20 / $19.91
| Professional | | $9.52 | $11.20 | $19.91 |