- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.56 / $10.78 / $60.38
| Professional | | $7.56 | $10.78 | $60.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.24 / $1.37 / $34.28
| Facility | | $1.24 | $1.37 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.99 / $16.95 / $24.13
| Professional | | $12.99 | $16.95 | $24.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.21 / $29.21 / $29.21
| Facility | | $29.21 | $29.21 | $29.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $14.71 / $23.04
| Professional | | $11.31 | $14.71 | $23.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.81 / $13.81 / $19.60
| Facility | | $13.81 | $13.81 | $19.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $13.81 / $23.63
| Professional | | $11.74 | $13.81 | $23.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.39 / $19.39 / $23.27
| Professional | | $19.39 | $19.39 | $23.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.30 / $16.68 / $32.17
| Professional | | $14.30 | $16.68 | $32.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $99.12 / $99.12
| Facility | | $76.00 | $99.12 | $99.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.84 / $13.81 / $24.68
| Facility | | $7.84 | $13.81 | $24.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $13.81 / $16.09
| Professional | | $11.74 | $13.81 | $16.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.49 / $39.49 / $39.49
| Professional | | $39.49 | $39.49 | $39.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $16.07 / $19.39
| Professional | | $16.07 | $16.07 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $10.44 / $17.89
| Professional | | $9.36 | $10.44 | $17.89 |