- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $19.01 / $61.56
| Facility | | $7.24 | $19.01 | $61.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.42 / $6.03
| Professional | | $5.25 | $5.42 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $3.62 / $4.19
| Professional | | $3.62 | $3.62 | $4.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $15.00 / $22.21
| Facility | | $13.37 | $15.00 | $22.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.64 / $9.64
| Professional | | $6.79 | $9.64 | $9.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $7.75 / $33.56
| Facility | | $3.96 | $7.75 | $33.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $8.77 / $17.00
| Professional | | $3.65 | $8.77 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $5.46 / $16.37
| Facility | | $5.46 | $5.46 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $4.45 / $12.30
| Professional | | $2.52 | $4.45 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.62 / $5.33
| Professional | | $2.52 | $3.62 | $5.33 |