- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $12.81 / $35.70
| Facility | | $10.43 | $12.81 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $12.80 / $21.97
| Professional | | $10.74 | $12.80 | $21.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.11 / $41.54 / $44.42
| Facility | | $27.11 | $41.54 | $44.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $14.40 / $14.56
| Professional | | $12.00 | $14.40 | $14.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $13.22 / $41.81
| Facility | | $8.30 | $13.22 | $41.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $8.75 / $22.72
| Professional | | $7.65 | $8.75 | $22.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $12.00 / $22.41
| Facility | | $8.00 | $12.00 | $22.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $15.74 / $21.00
| Professional | | $10.28 | $15.74 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $8.11 / $16.00
| Professional | | $7.20 | $8.11 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.20 / $121.83 / $121.83
| Facility | | $39.20 | $121.83 | $121.83 |