- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $33.11 / $173.78
| Facility | | $3.39 | $33.11 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.55 / $9.77
| Professional | | $3.02 | $3.55 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.75 / $3.98
| Professional | | $2.00 | $2.75 | $3.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $21.88 / $54.95
| Facility | | $6.03 | $21.88 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $5.01 / $8.71
| Professional | | $2.00 | $5.01 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $10.00 / $33.11
| Facility | | $2.57 | $10.00 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.45 / $5.62
| Professional | | $1.74 | $2.45 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.09 / $4.57 / $11.48
| Facility | | $3.09 | $4.57 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $3.98 / $4.79
| Facility | | $3.55 | $3.98 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.45 / $5.50
| Professional | | $1.66 | $2.45 | $5.50 |