- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $17.57 / $56.45
| Facility | | $8.84 | $17.57 | $56.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.10 / $12.86 / $14.41
| Professional | | $11.10 | $12.86 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $8.65 / $10.01
| Professional | | $8.65 | $8.65 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $15.46 / $37.06
| Facility | | $9.75 | $15.46 | $37.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.29 / $22.20
| Professional | | $9.55 | $16.29 | $22.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.33 / $81.92 / $132.04
| Facility | | $14.33 | $81.92 | $132.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $9.97 / $20.12
| Professional | | $8.65 | $9.97 | $20.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $6.92 / $9.51
| Professional | | $1.73 | $6.92 | $9.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $14.41 / $21.62
| Facility | | $14.41 | $14.41 | $21.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $8.44 / $20.12
| Professional | | $5.04 | $8.44 | $20.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $8.65 / $8.65
| Professional | | $7.46 | $8.65 | $8.65 |