- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $78.12 / $261.61
| Facility | | $16.94 | $78.12 | $261.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $14.78 / $18.63
| Professional | | $11.86 | $14.78 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $8.47 / $16.94
| Professional | | $8.47 | $8.47 | $16.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.38 / $15.46 / $50.82
| Facility | | $13.38 | $15.46 | $50.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.01 / $8.36 / $12.43
| Professional | | $8.01 | $8.36 | $12.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $18.63 / $23.72
| Facility | | $16.94 | $18.63 | $23.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $17.79 / $22.87
| Professional | | $11.01 | $17.79 | $22.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.40 / $16.94 / $43.61
| Facility | | $12.40 | $16.94 | $43.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $20.75 / $32.45
| Professional | | $11.16 | $20.75 | $32.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $10.16 / $18.62
| Professional | | $7.11 | $10.16 | $18.62 |