- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.84 / $141.12 / $206.35
| Facility | | $42.84 | $141.12 | $206.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $42.75 / $53.43
| Professional | | $11.74 | $42.75 | $53.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.22 / $35.22 / $35.22
| Facility | | $35.22 | $35.22 | $35.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $14.46 / $18.07
| Professional | | $9.44 | $14.46 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $11.57 / $11.57
| Facility | | $11.57 | $11.57 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $12.76 / $51.04
| Professional | | $12.76 | $12.76 | $51.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.66 / $49.13 / $82.38
| Facility | | $44.66 | $49.13 | $82.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $28.71 / $320.08
| Professional | | $11.48 | $28.71 | $320.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $11.57 / $44.66
| Facility | | $11.57 | $11.57 | $44.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $16.51 / $18.45
| Professional | | $12.76 | $16.51 | $18.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $25.52 / $31.52
| Professional | | $8.02 | $25.52 | $31.52 |