- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.52 / $53.06 / $144.25
| Facility | | $20.52 | $53.06 | $144.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $15.05 / $16.85
| Professional | | $12.06 | $15.05 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $11.70
| Professional | | $10.11 | $10.11 | $11.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.26 / $48.56 / $71.93
| Facility | | $43.26 | $48.56 | $71.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.83 / $27.46 / $27.46
| Professional | | $22.83 | $27.46 | $27.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $21.66 / $93.37
| Facility | | $11.07 | $21.66 | $93.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $24.26 / $54.00
| Professional | | $10.34 | $24.26 | $54.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $36.72
| Facility | | $15.27 | $15.27 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.11 / $34.36
| Professional | | $7.08 | $10.11 | $34.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.11 / $35.06
| Professional | | $7.08 | $10.11 | $35.06 |