- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $14.80 / $73.72
| Facility | | $10.18 | $14.80 | $73.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.22 / $10.86
| Professional | | $8.44 | $10.22 | $10.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.94 / $29.53
| Professional | | $5.72 | $7.94 | $29.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $12.93 / $22.70
| Facility | | $9.34 | $12.93 | $22.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $8.57 / $11.57
| Professional | | $5.83 | $8.57 | $11.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $11.43 / $31.04
| Facility | | $8.57 | $11.43 | $31.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $7.43 / $11.43
| Professional | | $7.43 | $7.43 | $11.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $13.22 / $16.52
| Professional | | $8.78 | $13.22 | $16.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $16.61 / $90.88
| Facility | | $10.85 | $16.61 | $90.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $10.86 / $15.22
| Professional | | $9.36 | $10.86 | $15.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $9.47 / $12.78
| Professional | | $8.52 | $9.47 | $12.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $9.35 / $12.63
| Professional | | $4.80 | $9.35 | $12.63 |