- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $9.03 / $48.13
| Professional | | $6.36 | $9.03 | $48.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.94 / $1.04 / $26.69
| Facility | | $0.94 | $1.04 | $26.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $13.90 / $25.88
| Professional | | $10.27 | $13.90 | $25.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.56 / $24.56 / $24.56
| Facility | | $24.56 | $24.56 | $24.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $10.21 / $18.77
| Professional | | $9.02 | $10.21 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $10.65 / $24.50
| Facility | | $10.65 | $10.65 | $24.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $10.65 / $18.00
| Professional | | $9.05 | $10.65 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.51 / $15.51 / $18.61
| Professional | | $15.51 | $15.51 | $18.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.44 / $13.34 / $25.73
| Professional | | $11.44 | $13.34 | $25.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.59 / $10.93 / $20.72
| Facility | | $6.59 | $10.93 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $10.65 / $12.06
| Professional | | $9.05 | $10.65 | $12.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.48 / $31.48 / $31.48
| Professional | | $31.48 | $31.48 | $31.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.51 / $12.51 / $15.51
| Professional | | $12.51 | $12.51 | $15.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $8.32 / $14.26
| Professional | | $7.73 | $8.32 | $14.26 |