- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $27.50 / $61.36
| Facility | | $10.11 | $27.50 | $61.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $20.37
| Professional | | $16.30 | $16.30 | $20.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $22.41 / $36.04
| Facility | | $17.98 | $22.41 | $36.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $8.15 / $16.26
| Professional | | $3.84 | $8.15 | $16.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $20.37 / $27.50
| Facility | | $10.45 | $20.37 | $27.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.30 / $26.48 / $27.50
| Professional | | $17.30 | $26.48 | $27.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.03 / $20.96 / $69.51
| Facility | | $10.03 | $20.96 | $69.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $9.25 / $26.68
| Professional | | $2.84 | $9.25 | $26.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $20.97 / $78.28
| Facility | | $8.09 | $20.97 | $78.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $6.10 / $13.24
| Professional | | $2.84 | $6.10 | $13.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.28 / $18.33 / $25.21
| Professional | | $15.28 | $18.33 | $25.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $8.56 / $24.44
| Professional | | $2.73 | $8.56 | $24.44 |