- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.65 / $56.34 / $86.71
| Facility | | $21.65 | $56.34 | $86.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $17.82 / $23.42
| Professional | | $11.86 | $17.82 | $23.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $12.03 / $12.03
| Professional | | $12.03 | $12.03 | $12.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.14 / $22.61 / $75.20
| Facility | | $16.14 | $22.61 | $75.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $20.11 / $40.18
| Professional | | $12.13 | $20.11 | $40.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $9.00 / $13.18
| Facility | | $9.00 | $9.00 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $12.03 / $17.64
| Professional | | $12.03 | $12.03 | $17.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $10.58 / $18.04
| Professional | | $2.65 | $10.58 | $18.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $8.51 / $44.11
| Professional | | $7.02 | $8.51 | $44.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $12.03 / $12.03
| Professional | | $12.03 | $12.03 | $12.03 |