- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $11.84 / $110.73
| Facility | | $9.66 | $11.84 | $110.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.16 / $17.55
| Professional | | $10.23 | $11.16 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $8.89 / $8.89
| Professional | | $7.13 | $8.89 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.66 / $27.03 / $33.77
| Facility | | $21.66 | $27.03 | $33.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $5.76 / $8.31
| Professional | | $5.76 | $5.76 | $8.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.73 / $13.54 / $33.81
| Facility | | $8.73 | $13.54 | $33.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.15 / $9.48 / $18.59
| Professional | | $8.15 | $9.48 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.59 / $11.16 / $18.20
| Facility | | $9.59 | $11.16 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $12.80 / $17.00
| Professional | | $10.27 | $12.80 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.67 / $12.79
| Professional | | $5.37 | $6.67 | $12.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $61.32 / $100.00
| Facility | | $50.00 | $61.32 | $100.00 |