- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $28.84 / $102.33
| Facility | | $7.24 | $28.84 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.25 / $7.08
| Professional | | $3.98 | $5.25 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.63 / $6.03
| Professional | | $3.02 | $3.63 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.30 / $22.39
| Facility | | $7.41 | $12.30 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.61 / $11.48
| Professional | | $5.01 | $6.61 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $39.81
| Facility | | $8.32 | $8.32 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $12.88 / $37.15
| Facility | | $3.89 | $12.88 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.07 / $7.08
| Professional | | $3.16 | $4.07 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $6.03 / $7.59
| Facility | | $2.95 | $6.03 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.16 / $8.32
| Professional | | $2.51 | $3.16 | $8.32 |