- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $45.71 / $144.54
| Facility | | $21.88 | $45.71 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $28.84 / $42.66
| Professional | | $18.62 | $28.84 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $22.39 / $38.02
| Facility | | $7.94 | $22.39 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $13.49 / $21.38
| Professional | | $10.47 | $13.49 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $12.30 / $138.04
| Facility | | $1.15 | $12.30 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $21.38 / $66.07
| Professional | | $14.13 | $21.38 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $28.18 / $53.70
| Facility | | $15.85 | $28.18 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $17.78 / $257.04
| Professional | | $10.47 | $17.78 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $144.54 / $190.55
| Facility | | $97.72 | $144.54 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $16.60 / $25.70
| Professional | | $10.47 | $16.60 | $25.70 |