- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $64.57 / $309.03
| Facility | | $17.78 | $64.57 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.98 / $239.88
| Professional | | $12.88 | $16.98 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $165.96 / $181.97
| Facility | | $20.89 | $165.96 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.72 / $22.91
| Professional | | $7.08 | $10.72 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $25.12 / $40.74
| Facility | | $21.38 | $25.12 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $20.42 / $25.70
| Professional | | $10.96 | $20.42 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $17.78 / $21.88
| Professional | | $14.79 | $17.78 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $61.66 / $309.03
| Facility | | $17.38 | $61.66 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $17.78 / $234.42
| Professional | | $13.18 | $17.78 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $17.78 / $36.31
| Professional | | $10.72 | $17.78 | $36.31 |