- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.03 / $90.72 / $365.82
| Facility | | $3.03 | $90.72 | $365.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $43.39 / $96.85
| Professional | | $2.47 | $43.39 | $96.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $5.86 / $6.16
| Facility | | $2.33 | $5.86 | $6.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $2.47 / $3.03
| Professional | | $2.47 | $2.47 | $3.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $5.38 / $10.18
| Professional | | $3.94 | $5.38 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $4.23 / $18.39
| Facility | | $2.11 | $4.23 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $2.79 / $3.85
| Professional | | $2.47 | $2.79 | $3.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $2.72 / $7.41
| Facility | | $2.11 | $2.72 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $4.23 / $12.00
| Facility | | $2.47 | $4.23 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $3.52 / $4.54
| Professional | | $2.68 | $3.52 | $4.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $2.47 / $2.72
| Professional | | $2.47 | $2.47 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $2.47 / $2.96
| Professional | | $2.47 | $2.47 | $2.96 |