- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $14.45 / $35.33
| Facility | | $10.64 | $14.45 | $35.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $10.10 / $10.67
| Professional | | $5.94 | $10.10 | $10.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.20 / $16.44 / $31.21
| Facility | | $11.20 | $16.44 | $31.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $6.72 / $17.82
| Professional | | $5.53 | $6.72 | $17.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.36 / $14.49 / $40.61
| Facility | | $7.36 | $14.49 | $40.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $13.22 / $16.52
| Professional | | $8.50 | $13.22 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $8.96 / $13.85
| Professional | | $5.15 | $8.96 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $6.72 / $19.64
| Professional | | $4.70 | $6.72 | $19.64 |