- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $17.16 / $38.58
| Professional | | $13.49 | $17.16 | $38.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.38 / $23.38 / $23.38
| Professional | | $23.38 | $23.38 | $23.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.20 / $29.20 / $74.29
| Facility | | $29.20 | $29.20 | $74.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.57 / $19.57 / $19.57
| Professional | | $19.57 | $19.57 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.37 / $22.36 / $32.72
| Professional | | $16.37 | $22.36 | $32.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.26 / $23.67 / $80.00
| Facility | | $23.26 | $23.67 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.32 / $22.32 / $22.32
| Professional | | $22.32 | $22.32 | $22.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $130.72 / $130.72
| Facility | | $80.00 | $130.72 | $130.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $207.00 / $247.34 / $257.24
| Professional | | $207.00 | $247.34 | $257.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.04 / $29.20 / $43.66
| Facility | | $21.04 | $29.20 | $43.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.33 / $36.39 / $45.12
| Professional | | $30.33 | $36.39 | $45.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.63 / $29.20 / $47.09
| Facility | | $20.63 | $29.20 | $47.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.32 / $22.32 / $56.73
| Professional | | $22.32 | $22.32 | $56.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.81 / $19.76 / $52.70
| Professional | | $15.81 | $19.76 | $52.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.71 / $23.38 / $24.29
| Professional | | $20.71 | $23.38 | $24.29 |