- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $24.71 / $68.81
| Facility | | $7.51 | $24.71 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.43 / $7.20
| Professional | | $5.33 | $6.43 | $7.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.32 / $5.52
| Professional | | $3.60 | $4.32 | $5.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $10.40 / $22.57
| Facility | | $8.76 | $10.40 | $22.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $13.05 / $13.05
| Professional | | $5.66 | $13.05 | $13.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.73 / $9.25 / $40.86
| Facility | | $4.73 | $9.25 | $40.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $9.83 / $30.00
| Professional | | $4.41 | $9.83 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.52 / $6.52 / $23.06
| Facility | | $6.52 | $6.52 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.32 / $13.46
| Professional | | $3.02 | $4.32 | $13.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.32 / $6.37
| Professional | | $3.02 | $4.32 | $6.37 |