- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.58 / $86.48 / $194.55
| Facility | | $28.58 | $86.48 | $194.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $21.78 / $25.47
| Professional | | $6.51 | $21.78 | $25.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.28 / $17.69 / $17.69
| Professional | | $15.28 | $17.69 | $17.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.16 / $73.15 / $108.38
| Facility | | $65.16 | $73.15 | $108.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.64 / $39.90 / $39.90
| Professional | | $22.64 | $39.90 | $39.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $32.72 / $141.52
| Facility | | $16.73 | $32.72 | $141.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.66 / $36.65 / $82.00
| Professional | | $15.66 | $36.65 | $82.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.09 / $23.09 / $55.13
| Facility | | $23.09 | $23.09 | $55.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $15.28 / $51.96
| Professional | | $10.70 | $15.28 | $51.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $15.28 / $53.00
| Professional | | $10.70 | $15.28 | $53.00 |