- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.38 / $235.32 / $547.45
| Facility | | $18.38 | $235.32 | $547.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $15.49 / $18.38
| Professional | | $13.05 | $15.49 | $18.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.36 / $14.36 / $14.36
| Professional | | $14.36 | $14.36 | $14.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.94 / $70.34 / $70.34
| Facility | | $47.94 | $70.34 | $70.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $15.27 / $28.73
| Professional | | $10.34 | $15.27 | $28.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $18.98 / $60.49
| Facility | | $11.68 | $18.98 | $60.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $12.40 / $33.04
| Professional | | $10.72 | $12.40 | $33.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.96 / $17.23 / $33.00
| Facility | | $13.96 | $17.23 | $33.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.98 / $24.16 / $31.00
| Professional | | $22.98 | $24.16 | $31.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $12.08 / $23.01
| Professional | | $11.49 | $12.08 | $23.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.01 / $194.00 / $243.00
| Facility | | $106.01 | $194.00 | $243.00 |