- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $10.78 / $66.20
| Professional | | $7.20 | $10.78 | $66.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $1.50 / $39.45
| Facility | | $1.35 | $1.50 | $39.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $17.30 / $28.87
| Professional | | $15.00 | $17.30 | $28.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.38 / $27.38 / $27.38
| Facility | | $27.38 | $27.38 | $27.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.40 / $13.31 / $23.43
| Professional | | $12.40 | $13.31 | $23.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $15.26 / $20.03
| Facility | | $13.44 | $15.26 | $20.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $15.26 / $29.97
| Professional | | $12.97 | $15.26 | $29.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.92 / $17.92 / $21.50
| Professional | | $17.92 | $17.92 | $21.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.87 / $16.18 / $31.21
| Professional | | $13.87 | $16.18 | $31.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.00 / $109.28 / $109.82
| Facility | | $76.00 | $109.28 | $109.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $15.26 / $23.12
| Facility | | $7.47 | $15.26 | $23.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $15.26 / $20.03
| Professional | | $12.97 | $15.26 | $20.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.31 / $43.31 / $43.31
| Professional | | $43.31 | $43.31 | $43.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.92 / $17.92 / $18.50
| Professional | | $17.92 | $17.92 | $18.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $11.45 / $16.55
| Professional | | $9.08 | $11.45 | $16.55 |