- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $203.61 / $368.60
| Facility | | $11.71 | $203.61 | $368.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.38 / $8.78 / $9.47
| Professional | | $8.38 | $8.78 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $10.92 / $26.18
| Facility | | $6.92 | $10.92 | $26.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $11.51 / $15.49
| Professional | | $6.75 | $11.51 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $7.12 / $10.65
| Facility | | $7.12 | $7.12 | $10.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $7.13 / $14.25
| Professional | | $6.11 | $7.13 | $14.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $5.01 / $6.88
| Professional | | $1.25 | $5.01 | $6.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $6.11 / $9.16
| Facility | | $5.19 | $6.11 | $9.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.97 / $14.22
| Professional | | $4.07 | $5.97 | $14.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $6.26 / $6.26
| Professional | | $5.27 | $6.26 | $6.26 |