- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.94 / $74.81 / $232.09
| Facility | | $17.94 | $74.81 | $232.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $16.89 / $23.26
| Professional | | $14.33 | $16.89 | $23.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.63 / $11.63 / $13.46
| Professional | | $11.63 | $11.63 | $13.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $20.81 / $49.83
| Facility | | $13.41 | $20.81 | $49.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.84 / $21.91 / $29.43
| Professional | | $12.84 | $21.91 | $29.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.28 / $110.21 / $177.65
| Facility | | $19.28 | $110.21 | $177.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.63 / $13.42 / $27.08
| Professional | | $11.63 | $13.42 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $9.30 / $12.79
| Professional | | $2.33 | $9.30 | $12.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $19.38 / $29.07
| Facility | | $19.38 | $19.38 | $29.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $11.37 / $27.08
| Professional | | $7.00 | $11.37 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $11.63 / $11.63
| Professional | | $10.03 | $11.63 | $11.63 |