- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $28.64 / $50.08
| Facility | | $10.34 | $28.64 | $50.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $11.57 / $14.42
| Professional | | $10.21 | $11.57 | $14.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $39.20 / $62.33
| Facility | | $14.39 | $39.20 | $62.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $9.98
| Professional | | $5.71 | $5.71 | $9.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $11.95 / $35.04
| Facility | | $7.97 | $11.95 | $35.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $10.41 / $19.62
| Professional | | $7.44 | $10.41 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $14.79 / $22.43
| Facility | | $10.34 | $14.79 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $17.69 / $41.00
| Professional | | $9.11 | $17.69 | $41.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $6.51 / $10.07
| Professional | | $5.72 | $6.51 | $10.07 |