- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $24.48 / $80.04
| Facility | | $7.67 | $24.48 | $80.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $11.65 / $13.05
| Professional | | $10.74 | $11.65 | $13.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $7.83 / $13.05
| Professional | | $6.53 | $7.83 | $13.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $14.02 / $33.54
| Facility | | $8.84 | $14.02 | $33.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $14.87 / $20.14
| Professional | | $8.73 | $14.87 | $20.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.98 / $74.22 / $119.64
| Facility | | $12.98 | $74.22 | $119.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $9.03 / $18.23
| Professional | | $7.83 | $9.03 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $6.26 / $8.61
| Professional | | $1.57 | $6.26 | $8.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.05 / $19.57
| Facility | | $13.05 | $13.05 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.66 / $18.23
| Professional | | $5.25 | $7.66 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $7.83 / $7.83
| Professional | | $6.76 | $7.83 | $7.83 |