- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $36.47 / $88.31
| Facility | | $19.55 | $36.47 | $88.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.67 / $17.73 / $35.46
| Professional | | $14.67 | $17.73 | $35.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $19.55 / $24.45
| Facility | | $8.71 | $19.55 | $24.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $11.83 / $15.02
| Professional | | $9.66 | $11.83 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.71 / $22.88 / $70.79
| Facility | | $12.71 | $22.88 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.58 / $22.30 / $27.88
| Professional | | $14.58 | $22.30 | $27.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.06 / $19.55 / $20.54
| Professional | | $0.06 | $19.55 | $20.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $6.72 / $6.72
| Professional | | $6.72 | $6.72 | $6.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.34 / $29.34 / $29.34
| Facility | | $29.34 | $29.34 | $29.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $11.21 / $27.32
| Professional | | $8.22 | $11.21 | $27.32 |