- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $29.72 / $78.88
| Facility | | $16.80 | $29.72 | $78.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.01 / $17.73
| Professional | | $10.19 | $15.01 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $12.10 / $13.45
| Professional | | $12.10 | $12.10 | $13.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $20.78 / $57.62
| Facility | | $13.40 | $20.78 | $57.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.84 / $21.91 / $34.08
| Professional | | $12.84 | $21.91 | $34.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.32 / $68.56 / $110.53
| Facility | | $12.32 | $68.56 | $110.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $13.45 / $22.41
| Professional | | $11.05 | $13.45 | $22.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $9.61 / $13.22
| Professional | | $2.40 | $9.61 | $13.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.41 / $22.41 / $33.61
| Facility | | $22.41 | $22.41 | $33.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $9.41 / $27.04
| Professional | | $7.14 | $9.41 | $27.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $12.02 / $12.02
| Professional | | $11.61 | $12.02 | $12.02 |