- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $45.42 / $82.13
| Facility | | $6.19 | $45.42 | $82.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $4.36 / $8.50
| Professional | | $2.87 | $4.36 | $8.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $3.48 / $7.07
| Professional | | $1.38 | $3.48 | $7.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $10.62 / $18.18
| Facility | | $8.51 | $10.62 | $18.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.25 / $3.26
| Professional | | $2.25 | $2.25 | $3.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.42 / $5.29 / $13.34
| Facility | | $3.42 | $5.29 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.65 / $7.23
| Professional | | $3.16 | $3.65 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.38 / $9.83
| Facility | | $4.01 | $4.38 | $9.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $7.19 / $10.00
| Professional | | $4.13 | $7.19 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,450.30 / $2,471.71 / $4,313.18
| Facility | | $2,450.30 | $2,471.71 | $4,313.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.51 / $6.84
| Professional | | $2.50 | $3.51 | $6.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $60.00 / $60.00
| Facility | | $14.09 | $60.00 | $60.00 |