- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $39.27 / $198.11
| Facility | | $5.77 | $39.27 | $198.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.51 / $5.86
| Professional | | $4.13 | $4.51 | $5.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.42 / $4.76
| Professional | | $3.01 | $3.42 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.40 / $5.40 / $15.05
| Facility | | $3.40 | $5.40 | $15.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $5.56 / $7.65
| Professional | | $3.29 | $5.56 | $7.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $27.81 / $44.83
| Facility | | $5.00 | $27.81 | $44.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $6.96 / $8.27
| Professional | | $2.48 | $6.96 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $2.65 / $3.31
| Professional | | $2.41 | $2.65 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.95 / $7.02
| Professional | | $2.00 | $2.95 | $7.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.01 / $3.01
| Professional | | $2.60 | $3.01 | $3.01 |