- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $10.78 / $66.55
| Professional | | $7.20 | $10.78 | $66.55 |
- 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 / $30.18
| Professional | | $15.00 | $17.30 | $30.18 |
- 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
- $12.47 / $14.25 / $23.50
| Professional | | $12.47 | $14.25 | $23.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $14.44 / $18.37
| Facility | | $13.44 | $14.44 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $14.44 / $27.38
| Professional | | $12.27 | $14.44 | $27.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $18.04 / $21.65
| Professional | | $18.04 | $18.04 | $21.65 |
- 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 / $109.75 / $109.82
| Facility | | $76.00 | $109.75 | $109.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $14.51 / $23.12
| Facility | | $7.47 | $14.51 | $23.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $14.44 / $16.09
| Professional | | $12.27 | $14.44 | $16.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.53 / $43.53 / $43.53
| Professional | | $43.53 | $43.53 | $43.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $18.04 / $18.50
| Professional | | $18.04 | $18.04 | $18.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $11.51 / $20.46
| Professional | | $9.08 | $11.51 | $20.46 |