- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $86.71 / $617.39
| Facility | | $7.60 | $86.71 | $617.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.68 / $8.41
| Professional | | $4.50 | $5.68 | $8.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $4.21 / $4.21
| Professional | | $4.21 | $4.21 | $4.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.12 / $7.01 / $8.76
| Facility | | $3.12 | $7.01 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $4.26 / $5.38
| Professional | | $3.46 | $4.26 | $5.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $8.21 / $25.40
| Facility | | $4.55 | $8.21 | $25.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $8.26 / $10.33
| Professional | | $5.22 | $8.26 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $7.01 / $7.36
| Professional | | $0.08 | $7.01 | $7.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $2.41 / $2.41
| Professional | | $2.41 | $2.41 | $2.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $10.52 / $10.52
| Facility | | $10.52 | $10.52 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.12 / $8.66
| Professional | | $2.94 | $4.12 | $8.66 |