- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.61 / $55.72 / $477.60
| Facility | | $20.61 | $55.72 | $477.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.37 / $14.02 / $17.55
| Professional | | $12.37 | $14.02 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.43 / $47.66 / $75.52
| Facility | | $17.43 | $47.66 | $75.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $12.10
| Professional | | $6.92 | $6.92 | $12.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.65 / $14.47 / $42.45
| Facility | | $9.65 | $14.47 | $42.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.06 / $12.68 / $23.75
| Professional | | $9.06 | $12.68 | $23.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $17.92 / $27.31
| Facility | | $12.53 | $17.92 | $27.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $21.44 / $30.51
| Professional | | $11.05 | $21.44 | $30.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $7.93 / $12.20
| Professional | | $6.93 | $7.93 | $12.20 |