- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.75 / $36.83 / $285.11
| Facility | | $20.75 | $36.83 | $285.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.52 / $16.34 / $46.56
| Professional | | $15.52 | $16.34 | $46.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $22.17 / $27.71
| Facility | | $9.86 | $22.17 | $27.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $13.41 / $16.27
| Professional | | $8.92 | $13.41 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $25.94 / $80.26
| Facility | | $14.41 | $25.94 | $80.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $25.61 / $32.01
| Professional | | $13.50 | $25.61 | $32.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.21 / $22.17 / $23.28
| Professional | | $0.21 | $22.17 | $23.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $6.21 / $6.21
| Professional | | $6.21 | $6.21 | $6.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.26 / $33.26 / $33.26
| Facility | | $33.26 | $33.26 | $33.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $10.60 / $22.29
| Professional | | $9.31 | $10.60 | $22.29 |