- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $63.19 / $194.16
| Facility | | $12.41 | $63.19 | $194.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $10.05 / $17.04
| Professional | | $10.05 | $10.05 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $16.57 / $129.63
| Facility | | $12.01 | $16.57 | $129.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $4.96 / $14.35
| Professional | | $4.96 | $4.96 | $14.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.59 / $17.16 / $26.48
| Facility | | $14.59 | $17.16 | $26.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.44 / $16.89 / $17.82
| Professional | | $12.44 | $16.89 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.66 / $12.66 / $96.39
| Professional | | $12.66 | $12.66 | $96.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.41 / $12.41 / $15.03
| Professional | | $12.41 | $12.41 | $15.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $62.68 / $124.35
| Facility | | $12.41 | $62.68 | $124.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $12.41 / $14.47
| Professional | | $10.05 | $12.41 | $14.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $10.14 / $24.51
| Professional | | $7.45 | $10.14 | $24.51 |