- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.74 / $63.04 / $170.13
| Facility | | $20.74 | $63.04 | $170.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $21.78 / $23.08
| Professional | | $9.94 | $21.78 | $23.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $12.74 / $15.28
| Professional | | $6.37 | $12.74 | $15.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.43 / $69.06 / $100.04
| Facility | | $51.43 | $69.06 | $100.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.20 / $24.20 / $26.02
| Professional | | $24.20 | $24.20 | $26.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $17.80 / $41.58
| Facility | | $16.55 | $17.80 | $41.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.38 / $25.71 / $36.65
| Professional | | $11.38 | $25.71 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.65 / $24.50 / $121.47
| Facility | | $21.65 | $24.50 | $121.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $14.55 / $31.84
| Professional | | $10.70 | $14.55 | $31.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $12.74 / $16.55
| Professional | | $10.70 | $12.74 | $16.55 |