- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.77 / $175.52 / $508.56
| Facility | | $40.77 | $175.52 | $508.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $7.79 / $23.52
| Professional | | $5.74 | $7.79 | $23.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.55 / $71.01 / $139.91
| Facility | | $46.55 | $71.01 | $139.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $10.61 / $18.27
| Professional | | $5.81 | $10.61 | $18.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.37 / $52.92 / $239.60
| Facility | | $24.37 | $52.92 | $239.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $24.50 / $31.03
| Professional | | $6.12 | $24.50 | $31.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $12.50 / $22.55
| Professional | | $9.27 | $12.50 | $22.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.45 / $154.72 / $258.05
| Facility | | $125.45 | $154.72 | $258.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $9.96 / $20.32
| Professional | | $7.46 | $9.96 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $13.29 / $28.03
| Professional | | $8.56 | $13.29 | $28.03 |