- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $29.30 / $361.37
| Facility | | $3.83 | $29.30 | $361.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.77 / $25.64
| Professional | | $10.44 | $12.77 | $25.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.95 / $58.64 / $114.35
| Facility | | $44.95 | $58.64 | $114.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $21.46 / $23.16
| Professional | | $10.73 | $21.46 | $23.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $7.00 / $7.00
| Facility | | $7.00 | $7.00 | $7.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.52 / $20.65 / $32.64
| Professional | | $16.52 | $20.65 | $32.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.47 / $28.67 / $296.24
| Facility | | $8.47 | $28.67 | $296.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $8.47 / $15.53
| Professional | | $3.67 | $8.47 | $15.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $20.62 / $44.27
| Facility | | $16.94 | $20.62 | $44.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $28.78 / $40.68
| Professional | | $2.67 | $28.78 | $40.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $8.47 / $14.12
| Professional | | $3.67 | $8.47 | $14.12 |