- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.53 / $32.65 / $70.09
| Facility | | $26.53 | $32.65 | $70.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.73 / $25.82 / $31.76
| Professional | | $15.73 | $25.82 | $31.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.46 / $12.34 / $18.42
| Facility | | $10.46 | $12.34 | $18.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.16 / $20.16 / $219.22
| Professional | | $20.16 | $20.16 | $219.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.51 / $38.15 / $164.87
| Facility | | $19.51 | $38.15 | $164.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.25 / $42.85 / $50.00
| Professional | | $18.25 | $42.85 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.73 / $15.73 / $56.22
| Facility | | $15.73 | $15.73 | $56.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.47 / $21.94 / $60.55
| Professional | | $12.47 | $21.94 | $60.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $29.68 / $44.52
| Facility | | $10.68 | $29.68 | $44.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.47 / $17.80 / $61.76
| Professional | | $12.47 | $17.80 | $61.76 |