- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.71 / $15.23 / $20.71
| Professional | | $13.71 | $15.23 | $20.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $22.83 / $27.86
| Professional | | $11.01 | $22.83 | $27.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.80 / $33.28 / $38.70
| Professional | | $25.80 | $33.28 | $38.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.37 / $11.37 / $13.62
| Facility | | $11.37 | $11.37 | $13.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $13.04 / $22.47
| Professional | | $10.07 | $13.04 | $22.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $4.75 / $5.90
| Professional | | $4.59 | $4.75 | $5.90 |