- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.77 / $52.29 / $124.86
| Facility | | $15.77 | $52.29 | $124.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.63 / $8.51
| Professional | | $4.84 | $5.63 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $9.08 / $14.83
| Facility | | $6.47 | $9.08 | $14.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $6.47
| Professional | | $5.18 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $23.89 / $57.47
| Facility | | $13.19 | $23.89 | $57.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $9.44 / $12.57
| Professional | | $7.51 | $9.44 | $12.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $21.84 / $45.25
| Facility | | $13.06 | $21.84 | $45.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $7.43 / $11.75
| Professional | | $7.43 | $7.43 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.51 / $56.07 / $144.93
| Facility | | $13.51 | $56.07 | $144.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $10.46 / $47.03
| Professional | | $3.88 | $10.46 | $47.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $6.47 / $13.78
| Professional | | $3.56 | $6.47 | $13.78 |