- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.91 / $37.15 / $5,972.82
| Facility | | $17.91 | $37.15 | $5,972.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.07 / $8.76
| Professional | | $2.25 | $3.07 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.62 / $3.54
| Professional | | $2.15 | $2.62 | $3.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $2.16 / $4.24
| Facility | | $1.56 | $2.16 | $4.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $2.49 / $4.65
| Professional | | $1.56 | $2.49 | $4.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $4.09 / $4.92
| Professional | | $3.28 | $4.09 | $4.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.04 / $3.35
| Professional | | $1.48 | $2.04 | $3.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.31 / $2.61 / $2.61
| Professional | | $1.31 | $2.61 | $2.61 |