- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $89.52 / $991.73
| Facility | | $3.83 | $89.52 | $991.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $6.68 / $13.88
| Professional | | $3.06 | $6.68 | $13.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.66 / $57.22
| Professional | | $2.54 | $2.66 | $57.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $7.98 / $13.14
| Facility | | $6.48 | $7.98 | $13.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $2.68
| Professional | | $2.29 | $2.29 | $2.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.61 / $4.05 / $9.78
| Facility | | $2.61 | $4.05 | $9.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.74 / $5.68
| Professional | | $2.50 | $2.74 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $3.48 / $7.48
| Facility | | $3.06 | $3.48 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $5.25 / $7.00
| Professional | | $4.04 | $5.25 | $7.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $2.67 / $5.22
| Professional | | $1.92 | $2.67 | $5.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $85.54 / $85.54
| Facility | | $11.27 | $85.54 | $85.54 |