- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.85 / $241.76 / $606.01
| Facility | | $19.85 | $241.76 | $606.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $8.94 / $12.47
| Professional | | $8.57 | $8.94 | $12.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $7.48 / $7.48
| Professional | | $7.48 | $7.48 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $12.47 / $15.59
| Facility | | $5.55 | $12.47 | $15.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $7.54 / $9.15
| Professional | | $4.99 | $7.54 | $9.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $14.60 / $45.17
| Facility | | $8.11 | $14.60 | $45.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.38 / $14.46 / $18.07
| Professional | | $7.38 | $14.46 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.11 / $12.47 / $13.09
| Professional | | $0.11 | $12.47 | $13.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $3.38 / $3.38
| Professional | | $3.38 | $3.38 | $3.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.78 / $13.75
| Professional | | $5.24 | $5.78 | $13.75 |