- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $47.86 / $537.03
| Facility | | $10.72 | $47.86 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.79 / $9.77
| Professional | | $3.02 | $4.79 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $4.68 / $14.79
| Facility | | $4.57 | $4.68 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $6.17 / $10.23
| Professional | | $3.47 | $6.17 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $19.50 / $28.84
| Facility | | $5.37 | $19.50 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.57 / $4.79
| Professional | | $3.63 | $4.57 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.37 / $16.98
| Professional | | $3.80 | $5.37 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.37 / $12.02
| Professional | | $4.79 | $5.37 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $2.69 / $18.20
| Facility | | $2.69 | $2.69 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.16 / $7.41
| Professional | | $2.24 | $3.16 | $7.41 |