- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $37.31 / $88.48
| Facility | | $15.83 | $37.31 | $88.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.67 / $17.88
| Professional | | $13.07 | $13.67 | $17.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $21.06 / $57.99
| Facility | | $16.76 | $21.06 | $57.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $10.06 / $17.09
| Professional | | $7.44 | $10.06 | $17.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $27.28 / $53.23
| Facility | | $11.71 | $27.28 | $53.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $19.41 / $24.26
| Professional | | $9.69 | $19.41 | $24.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.42 / $31.42 / $35.61
| Facility | | $31.42 | $31.42 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $14.95 / $22.01
| Professional | | $10.06 | $14.95 | $22.01 |