- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.46 / $62.28 / $284.39
| Facility | | $20.46 | $62.28 | $284.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.47 / $20.47 / $25.27
| Professional | | $20.47 | $20.47 | $25.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.45 / $33.74 / $264.01
| Facility | | $24.45 | $33.74 | $264.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $29.23
| Professional | | $10.11 | $10.11 | $29.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.12 / $35.44 / $53.92
| Facility | | $30.12 | $35.44 | $53.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.53 / $34.39 / $36.71
| Professional | | $25.53 | $34.39 | $36.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.27 / $25.27 / $30.60
| Professional | | $25.27 | $25.27 | $30.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.27 / $62.28 / $285.48
| Facility | | $25.27 | $62.28 | $285.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.47 / $25.27 / $29.48
| Professional | | $20.47 | $25.27 | $29.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $20.65 / $49.91
| Professional | | $15.16 | $20.65 | $49.91 |