- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $106.91 / $266.02
| Facility | | $23.44 | $106.91 | $266.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $22.18 / $55.05
| Professional | | $7.07 | $22.18 | $55.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $17.93 / $19.78
| Professional | | $7.10 | $17.93 | $19.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.85 / $107.67 / $107.67
| Facility | | $53.85 | $107.67 | $107.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $11.61 / $16.78
| Professional | | $11.61 | $11.61 | $16.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $27.32 / $67.61
| Facility | | $17.62 | $27.32 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $18.96 / $57.73
| Professional | | $16.30 | $18.96 | $57.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $22.51 / $50.51
| Facility | | $20.20 | $22.51 | $50.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.30 / $36.97 / $47.00
| Professional | | $24.30 | $36.97 | $47.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $17.61 / $35.22
| Professional | | $11.61 | $17.61 | $35.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.11 / $123.84 / $123.84
| Facility | | $70.11 | $123.84 | $123.84 |