- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $50.12 / $7,413.10
| Facility | | $5.75 | $50.12 | $7,413.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $6.31
| Professional | | $3.02 | $3.98 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $6.92 / $8.32
| Facility | | $4.17 | $6.92 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $2.51 / $7.76
| Professional | | $2.19 | $2.51 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $4.07 / $4.07
| Facility | | $4.07 | $4.07 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $12.30 / $19.95
| Facility | | $6.46 | $12.30 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $7.76 / $9.77
| Professional | | $2.75 | $7.76 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $7.24 / $12.02
| Professional | | $6.92 | $7.24 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $5.75 / $6.31
| Facility | | $2.88 | $5.75 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.24 / $8.32
| Professional | | $2.63 | $3.24 | $8.32 |