- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $28.92 / $50.56
| Facility | | $10.44 | $28.92 | $50.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $11.68 / $13.74
| Professional | | $10.31 | $11.68 | $13.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.52 / $39.71 / $62.93
| Facility | | $14.52 | $39.71 | $62.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $10.08
| Professional | | $5.77 | $5.77 | $10.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $12.06 / $35.36
| Facility | | $8.03 | $12.06 | $35.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.33 / $15.69 / $19.62
| Professional | | $7.33 | $15.69 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $11.40 / $18.89
| Facility | | $10.44 | $11.40 | $18.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.21 / $17.86 / $25.42
| Professional | | $9.21 | $17.86 | $25.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $13.74 / $13.74
| Facility | | $13.74 | $13.74 | $13.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $6.41 / $10.17
| Professional | | $5.77 | $6.41 | $10.17 |