- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $85.11 / $537.03
| Facility | | $8.71 | $85.11 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.08 / $79.43
| Professional | | $6.03 | $7.08 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.37 / $8.71
| Professional | | $3.47 | $4.37 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $69.18 / $131.83
| Facility | | $28.18 | $69.18 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.96 / $19.95
| Professional | | $7.08 | $10.96 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $21.88 / $53.70
| Facility | | $5.62 | $21.88 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.37 / $12.30
| Professional | | $3.89 | $5.37 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $10.00 / $19.95
| Facility | | $6.76 | $10.00 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $8.71 / $10.47
| Facility | | $7.76 | $8.71 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.50 / $12.02
| Professional | | $3.63 | $5.50 | $12.02 |