- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $86.40 / $344.47
| Facility | | $15.95 | $86.40 | $344.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $3.79 / $4.96
| Professional | | $3.34 | $3.79 | $4.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $4.61 / $10.99
| Facility | | $2.88 | $4.61 | $10.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $4.78 / $6.71
| Professional | | $2.80 | $4.78 | $6.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.23 / $24.21 / $39.02
| Facility | | $4.23 | $24.21 | $39.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.95 / $5.95
| Professional | | $2.57 | $2.95 | $5.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.26 / $2.82
| Professional | | $2.06 | $2.26 | $2.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.57 / $3.85
| Facility | | $2.17 | $2.57 | $3.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.71 / $2.50 / $9.44
| Professional | | $1.71 | $2.50 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.22 / $2.57 / $2.57
| Professional | | $2.22 | $2.57 | $2.57 |