- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $96.05 / $430.01
| Facility | | $9.18 | $96.05 | $430.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $68.09 / $177.06
| Professional | | $4.86 | $68.09 | $177.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.13 / $3.48
| Professional | | $2.61 | $3.13 | $3.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $5.61 / $13.41
| Facility | | $3.61 | $5.61 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $5.78 / $7.75
| Professional | | $3.46 | $5.78 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.20 / $29.70 / $47.87
| Facility | | $5.20 | $29.70 | $47.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $3.62 / $7.30
| Professional | | $3.13 | $3.62 | $7.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.13 / $3.91
| Professional | | $2.85 | $3.13 | $3.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $5.22 / $7.83
| Facility | | $5.22 | $5.22 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.08 / $7.30
| Professional | | $2.09 | $3.08 | $7.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $3.56 / $3.56
| Professional | | $2.70 | $3.56 | $3.56 |