- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.98 / $24.07 / $43.28
| Facility | | $10.98 | $24.07 | $43.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $7.84 / $27.52
| Professional | | $6.72 | $7.84 | $27.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.56 / $18.28 / $22.85
| Professional | | $11.56 | $18.28 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $17.82 / $152.02
| Professional | | $10.18 | $17.82 | $152.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $17.07 / $49.71
| Facility | | $10.18 | $17.07 | $49.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $10.49 / $27.72
| Professional | | $6.11 | $10.49 | $27.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $20.76 / $31.91
| Facility | | $12.47 | $20.76 | $31.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $20.76 / $29.19
| Professional | | $12.23 | $20.76 | $29.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $6.79 / $23.41
| Professional | | $6.11 | $6.79 | $23.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $10.18 / $10.18
| Professional | | $8.03 | $10.18 | $10.18 |