- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.54 / $85.63 / $196.24
| Facility | | $24.54 | $85.63 | $196.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.87 / $13.35 / $320.39
| Professional | | $12.87 | $13.35 | $320.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.66 / $18.44 / $30.40
| Facility | | $17.66 | $18.44 | $30.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $11.24 / $28.54
| Professional | | $7.87 | $11.24 | $28.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.01 / $35.76 / $62.87
| Facility | | $14.01 | $35.76 | $62.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.92 / $16.57 / $21.17
| Professional | | $10.92 | $16.57 | $21.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $16.80 / $23.98
| Professional | | $6.30 | $16.80 | $23.98 |