- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.95 / $35.26 / $73.89
| Facility | | $17.95 | $35.26 | $73.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $15.26 / $113.36
| Professional | | $11.81 | $15.26 | $113.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $12.24 / $12.24
| Professional | | $12.24 | $12.24 | $12.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $38.72 / $64.54
| Facility | | $9.86 | $38.72 | $64.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $14.86 / $21.17
| Professional | | $10.21 | $14.86 | $21.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $28.65 / $51.57
| Facility | | $12.35 | $28.65 | $51.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $21.48 / $26.85
| Professional | | $11.81 | $21.48 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.22 / $15.38 / $100.00
| Facility | | $13.22 | $15.38 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.35 / $14.40
| Professional | | $7.40 | $10.35 | $14.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.87 / $21.16 / $22.18
| Facility | | $15.87 | $21.16 | $22.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.35 / $12.60
| Professional | | $7.40 | $10.35 | $12.60 |