- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.03 / $34.04 / $89.36
| Facility | | $27.03 | $34.04 | $89.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $11.70 / $14.78
| Professional | | $10.35 | $11.70 | $14.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.49 / $11.82 / $37.04
| Facility | | $11.49 | $11.82 | $37.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $15.69 / $19.62
| Professional | | $8.41 | $15.69 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $15.46 / $60.47
| Facility | | $13.44 | $15.46 | $60.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $10.85 / $15.56
| Professional | | $10.29 | $10.85 | $15.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.94 / $8.06
| Professional | | $5.64 | $7.94 | $8.06 |