- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.46 / $28.97 / $50.64
| Facility | | $10.46 | $28.97 | $50.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $12.30 / $16.51
| Professional | | $10.32 | $12.30 | $16.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $39.77 / $63.02
| Facility | | $14.54 | $39.77 | $63.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $11.33
| Professional | | $5.77 | $5.77 | $11.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.05 / $13.14 / $35.40
| Facility | | $8.05 | $13.14 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $12.59 / $20.13
| Professional | | $8.41 | $12.59 | $20.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.46 / $16.51 / $27.12
| Facility | | $10.46 | $16.51 | $27.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $17.89 / $50.77
| Professional | | $9.22 | $17.89 | $50.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $17.30 / $17.30
| Facility | | $17.30 | $17.30 | $17.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.08 / $11.09
| Professional | | $5.78 | $8.08 | $11.09 |