- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.63 / $28.45 / $55.12
| Facility | | $16.63 | $28.45 | $55.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $15.12 / $22.12
| Professional | | $13.65 | $15.12 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.69 / $22.60 / $61.21
| Facility | | $17.69 | $22.60 | $61.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $10.61 / $20.46
| Professional | | $8.74 | $10.61 | $20.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.37 / $29.18 / $57.12
| Facility | | $12.37 | $29.18 | $57.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $20.65 / $26.23
| Professional | | $11.15 | $20.65 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.61 / $25.06
| Professional | | $7.43 | $10.61 | $25.06 |