- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $117.49 / $741.31
| Facility | | $19.50 | $117.49 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.91 / $32.36
| Professional | | $7.76 | $8.91 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.31 / $11.22
| Professional | | $5.25 | $6.31 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $31.62
| Facility | | $10.47 | $10.47 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.31 / $12.02
| Professional | | $5.01 | $6.31 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $10.47 / $13.80
| Facility | | $9.55 | $10.47 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.47 / $12.59
| Professional | | $6.92 | $10.47 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $21.38 / $25.12
| Facility | | $8.51 | $21.38 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.33 / $22.39
| Professional | | $6.76 | $9.33 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $10.47 / $10.47
| Facility | | $4.79 | $10.47 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.31 / $10.47
| Professional | | $4.47 | $6.31 | $10.47 |