- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $45.71 / $194.98
| Facility | | $20.42 | $45.71 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $66.07
| Professional | | $10.96 | $14.13 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.30 / $12.30
| Professional | | $12.02 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $33.88 / $97.72
| Facility | | $27.54 | $33.88 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $11.48 / $33.88
| Professional | | $8.71 | $11.48 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $67.61 / $123.03
| Facility | | $28.84 | $67.61 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $35.48
| Professional | | $13.80 | $21.38 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $30.90 / $60.26
| Professional | | $17.78 | $30.90 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.72 / $52.48
| Professional | | $7.41 | $10.72 | $52.48 |