- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.86 / $61.14 / $82.32
| Facility | | $39.86 | $61.14 | $82.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $11.08 / $14.27
| Professional | | $9.31 | $11.08 | $14.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $10.91 / $34.21
| Facility | | $10.61 | $10.91 | $34.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $14.04 / $17.55
| Professional | | $7.79 | $14.04 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $14.27 / $55.85
| Facility | | $12.41 | $14.27 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $10.03 / $14.36
| Professional | | $9.50 | $10.03 | $14.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $5.21 / $7.45
| Professional | | $5.21 | $5.21 | $7.45 |