- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.77 / $35.76
| Professional | | $8.94 | $12.77 | $35.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.68 / $1.86 / $48.99
| Facility | | $1.68 | $1.86 | $48.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $21.52 / $35.86
| Professional | | $18.20 | $21.52 | $35.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.00 / $34.00 / $34.00
| Facility | | $34.00 | $34.00 | $34.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.29 / $15.37 / $28.95
| Professional | | $15.29 | $15.37 | $28.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $18.77 / $24.64
| Facility | | $16.69 | $18.77 | $24.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.95 / $18.77 / $33.38
| Professional | | $15.95 | $18.77 | $33.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.82 / $22.82 / $27.38
| Professional | | $22.82 | $22.82 | $27.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.23 / $20.10 / $38.77
| Professional | | $17.23 | $20.10 | $38.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $134.69 / $136.37
| Facility | | $76.00 | $134.69 | $136.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $18.77 / $28.72
| Facility | | $9.27 | $18.77 | $28.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.95 / $18.77 / $22.57
| Professional | | $15.95 | $18.77 | $22.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.39 / $53.39 / $53.39
| Professional | | $53.39 | $53.39 | $53.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.82 / $22.82 / $22.97
| Professional | | $22.82 | $22.82 | $22.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $14.11 / $20.47
| Professional | | $11.15 | $14.11 | $20.47 |