- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $13.04 / $22.82
| Facility | | $12.23 | $13.04 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $12.46 / $13.04
| Professional | | $11.26 | $12.46 | $13.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $15.53 / $27.28
| Facility | | $11.07 | $15.53 | $27.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $10.30 / $13.91
| Professional | | $7.00 | $10.30 | $13.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $13.73 / $37.29
| Facility | | $10.30 | $13.73 | $37.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $8.92 / $13.73
| Professional | | $8.92 | $8.92 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $15.69 / $19.62
| Professional | | $10.56 | $15.69 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $13.04 / $23.96
| Facility | | $12.39 | $13.04 | $23.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $16.47 / $19.22
| Professional | | $11.98 | $16.47 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.37 / $15.34
| Professional | | $10.23 | $11.37 | $15.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $12.36 / $16.48
| Facility | | $5.77 | $12.36 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $11.30 / $13.73
| Professional | | $5.77 | $11.30 | $13.73 |