- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $17.57 / $330.34
| Facility | | $9.34 | $17.57 | $330.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $10.73 / $12.01
| Professional | | $9.61 | $10.73 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $10.81 / $12.62
| Facility | | $7.48 | $10.81 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $5.93 / $11.90
| Professional | | $5.93 | $5.93 | $11.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $16.80 / $19.82
| Facility | | $12.01 | $16.80 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $15.61 / $24.02
| Professional | | $12.85 | $15.61 | $24.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.81 / $9.34 / $22.74
| Facility | | $7.81 | $9.34 | $22.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $13.63 / $82.67
| Professional | | $6.11 | $13.63 | $82.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $6.61
| Professional | | $6.61 | $6.61 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $10.08 / $16.80
| Professional | | $5.04 | $10.08 | $16.80 |