- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $12.93 / $236.40
| Facility | | $9.32 | $12.93 | $236.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $10.71 / $11.98
| Professional | | $10.06 | $10.71 | $11.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.46 / $10.78 / $12.59
| Facility | | $7.46 | $10.78 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $5.92 / $11.34
| Professional | | $5.67 | $5.92 | $11.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $14.38 / $16.80
| Facility | | $11.98 | $14.38 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $14.50 / $23.96
| Professional | | $11.98 | $14.50 | $23.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.79 / $9.32 / $25.75
| Facility | | $7.79 | $9.32 | $25.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $13.63 / $78.94
| Professional | | $6.11 | $13.63 | $78.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $6.59 / $6.59
| Professional | | $6.59 | $6.59 | $6.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $9.61 / $16.76
| Professional | | $5.03 | $9.61 | $16.76 |