- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $26.73 / $50.40
| Facility | | $10.57 | $26.73 | $50.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $12.72 / $26.66
| Professional | | $10.57 | $12.72 | $26.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $20.32 / $55.01
| Facility | | $11.48 | $20.32 | $55.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $7.36 / $31.00
| Professional | | $5.52 | $7.36 | $31.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $15.90 / $25.44
| Facility | | $10.70 | $15.90 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.80 / $34.97 / $49.11
| Facility | | $15.80 | $34.97 | $49.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $19.41 / $24.26
| Professional | | $9.17 | $19.41 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.37 / $20.67 / $53.57
| Professional | | $17.37 | $20.67 | $53.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.68 / $10.17 / $20.83
| Professional | | $6.68 | $10.17 | $20.83 |