- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $14.92 / $37.31
| Facility | | $8.51 | $14.92 | $37.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $9.13 / $60.12
| Professional | | $6.26 | $9.13 | $60.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.23 / $20.58 / $34.22
| Facility | | $5.23 | $20.58 | $34.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.88 / $11.23
| Professional | | $5.42 | $7.88 | $11.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.80 / $15.20 / $27.36
| Facility | | $5.80 | $15.20 | $27.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $11.56 / $14.45
| Professional | | $4.66 | $11.56 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.81 / $6.89 / $100.00
| Facility | | $6.81 | $6.89 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.04 / $7.48
| Professional | | $3.93 | $4.04 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $8.42 / $11.22
| Facility | | $8.42 | $8.42 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.04 / $7.48
| Professional | | $3.93 | $4.04 | $7.48 |