- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.05 / $25.72 / $81.31
| Facility | | $14.05 | $25.72 | $81.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $10.31 / $11.59
| Professional | | $8.93 | $10.31 | $11.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $16.64 / $18.10
| Facility | | $11.68 | $16.64 | $18.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.61 / $16.34
| Professional | | $7.43 | $10.61 | $16.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.01 / $20.48 / $37.53
| Facility | | $8.01 | $20.48 | $37.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $6.60 / $20.65
| Professional | | $6.26 | $6.60 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $8.03 / $18.60
| Professional | | $4.95 | $8.03 | $18.60 |