- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $19.98 / $61.02
| Facility | | $5.19 | $19.98 | $61.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.42 / $7.24
| Professional | | $5.13 | $5.42 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $4.19 / $16.47
| Professional | | $4.01 | $4.19 | $16.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $12.76 / $18.93
| Facility | | $10.21 | $12.76 | $18.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $2.71 / $3.92
| Professional | | $2.71 | $2.71 | $3.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $6.40 / $16.01
| Facility | | $4.12 | $6.40 | $16.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.83 / $4.38 / $8.77
| Professional | | $3.83 | $4.38 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.82 / $5.46 / $10.19
| Facility | | $4.82 | $5.46 | $10.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.47 / $10.00
| Professional | | $5.13 | $7.47 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.64 / $7.12
| Professional | | $3.02 | $3.64 | $7.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.20 / $60.00 / $100.00
| Facility | | $28.20 | $60.00 | $100.00 |