- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $39.60 / $87.06
| Facility | | $10.41 | $39.60 | $87.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $5.83 / $9.72
| Professional | | $5.50 | $5.83 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.53 / $17.05 / $23.30
| Facility | | $10.53 | $17.05 | $23.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $7.43 / $11.75
| Professional | | $4.62 | $7.43 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $15.78 / $17.03
| Professional | | $6.48 | $15.78 | $17.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $8.99 / $28.00
| Facility | | $5.66 | $8.99 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $7.45 / $13.05
| Professional | | $6.48 | $7.45 | $13.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $8.02 / $15.38
| Facility | | $6.48 | $8.02 | $15.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $8.15 / $18.79
| Facility | | $5.66 | $8.15 | $18.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $8.10 / $10.61
| Professional | | $6.48 | $8.10 | $10.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $20.00 / $26.77
| Facility | | $12.64 | $20.00 | $26.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $8.26 / $15.59
| Professional | | $5.79 | $8.26 | $15.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.70 / $7.78
| Professional | | $2.72 | $3.70 | $7.78 |