- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.97 / $15.06 / $294.20
| Facility | | $3.97 | $15.06 | $294.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $4.62 / $6.98
| Professional | | $4.01 | $4.62 | $6.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.12 / $4.51 / $5.28
| Facility | | $3.12 | $4.51 | $5.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.84 / $4.41
| Professional | | $2.35 | $2.84 | $4.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $6.02 / $7.26
| Facility | | $5.01 | $6.02 | $7.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.07 / $10.03
| Professional | | $5.01 | $6.07 | $10.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $3.83 / $6.02
| Facility | | $3.26 | $3.83 | $6.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $7.19 / $24.20
| Professional | | $2.48 | $7.19 | $24.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $2.76 / $2.76
| Professional | | $2.76 | $2.76 | $2.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $5.71 / $8.03
| Professional | | $2.50 | $5.71 | $8.03 |