- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $66.98 / $123.08
| Facility | | $13.37 | $66.98 | $123.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $5.45 / $8.31
| Professional | | $4.46 | $5.45 | $8.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $6.04 / $6.04
| Professional | | $4.19 | $6.04 | $6.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $33.06 / $68.98
| Facility | | $12.27 | $33.06 | $68.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $6.04 / $15.00
| Professional | | $2.42 | $6.04 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $17.53 / $35.56
| Facility | | $3.20 | $17.53 | $35.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.63 / $17.23
| Professional | | $3.12 | $4.63 | $17.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.71 / $6.97 / $11.82
| Facility | | $4.71 | $6.97 | $11.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $8.64 / $11.00
| Professional | | $7.00 | $8.64 | $11.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.32 / $4.78
| Professional | | $3.32 | $3.32 | $4.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.62 / $8.44
| Professional | | $2.54 | $3.62 | $8.44 |