- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $37.15 / $102.33
| Facility | | $3.63 | $37.15 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.31 / $9.12
| Professional | | $2.00 | $3.31 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $2.51 / $3.63
| Professional | | $1.82 | $2.51 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $25.12 / $64.57
| Facility | | $6.61 | $25.12 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $7.08 / $8.91
| Professional | | $2.00 | $7.08 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $9.33 / $30.90
| Facility | | $2.40 | $9.33 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.29 / $5.13
| Professional | | $1.74 | $2.29 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $4.27 / $10.47
| Facility | | $2.88 | $4.27 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.63 / $4.37
| Facility | | $3.31 | $3.63 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.29 / $5.13
| Professional | | $1.55 | $2.29 | $5.13 |