- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.09 / $29.68 / $143.58
| Facility | | $17.09 | $29.68 | $143.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.87 / $23.04 / $24.02
| Professional | | $19.87 | $23.04 | $24.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $27.70 / $66.36
| Facility | | $17.48 | $27.70 | $66.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.13 / $29.21 / $39.24
| Professional | | $17.13 | $29.21 | $39.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.68 / $146.76 / $236.57
| Facility | | $25.68 | $146.76 | $236.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $17.87 / $36.06
| Professional | | $15.49 | $17.87 | $36.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $12.58 / $17.30
| Professional | | $3.15 | $12.58 | $17.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.72 / $38.72 / $38.72
| Facility | | $38.72 | $38.72 | $38.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $15.36 / $36.06
| Professional | | $10.32 | $15.36 | $36.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.37 / $15.73 / $15.73
| Professional | | $13.37 | $15.73 | $15.73 |