- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.67 / $100.16 / $2,249.50
| Facility | | $4.67 | $100.16 | $2,249.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $3.45 / $5.48
| Professional | | $3.15 | $3.45 | $5.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $2.29
| Professional | | $2.29 | $2.29 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $4.11 / $9.85
| Facility | | $2.65 | $4.11 | $9.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $4.22 / $5.68
| Professional | | $2.47 | $4.22 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $21.76 / $35.08
| Facility | | $3.80 | $21.76 | $35.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.65 / $5.34
| Professional | | $2.29 | $2.65 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.02 / $2.52
| Professional | | $1.84 | $2.02 | $2.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.24 / $5.34
| Professional | | $1.61 | $2.24 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.29 / $2.29
| Professional | | $1.98 | $2.29 | $2.29 |