- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.44 / $76.72 / $104.09
| Facility | | $12.44 | $76.72 | $104.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $13.06 / $24.64
| Professional | | $7.99 | $13.06 | $24.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $7.54 / $10.47
| Professional | | $3.77 | $7.54 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.74 / $52.03 / $75.36
| Facility | | $38.74 | $52.03 | $75.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $14.33 / $15.41
| Professional | | $14.33 | $14.33 | $15.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $10.54 / $24.62
| Facility | | $9.80 | $10.54 | $24.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $15.11 / $21.68
| Professional | | $6.77 | $15.11 | $21.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $15.83 / $100.00
| Facility | | $13.14 | $15.83 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $8.69 / $21.06
| Professional | | $6.33 | $8.69 | $21.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $7.54 / $12.73
| Professional | | $6.33 | $7.54 | $12.73 |