- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $42.86 / $64.31
| Professional | | $14.37 | $42.86 | $64.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.94 / $16.09 / $25.74
| Professional | | $13.94 | $16.09 | $25.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.30 / $32.47 / $36.53
| Professional | | $20.30 | $32.47 | $36.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $22.25 / $48.95
| Professional | | $11.03 | $22.25 | $48.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $25.94 / $63.66
| Facility | | $17.23 | $25.94 | $63.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $24.78 / $475.63
| Professional | | $13.43 | $24.78 | $475.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $24.15 / $32.46
| Professional | | $13.43 | $24.15 | $32.46 |