- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.54 / $11.74 / $71.38
| Facility | | $10.54 | $11.74 | $71.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $13.12 / $13.65
| Professional | | $11.74 | $13.12 | $13.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $18.11 / $102.99
| Facility | | $10.51 | $18.11 | $102.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.54 / $18.00 / $22.50
| Professional | | $12.54 | $18.00 | $22.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.34 / $43.62 / $90.87
| Facility | | $27.34 | $43.62 | $90.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.56 / $9.49 / $21.68
| Professional | | $7.56 | $9.49 | $21.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.29 / $14.22 / $27.75
| Facility | | $11.29 | $14.22 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $13.22 / $18.48
| Professional | | $12.02 | $13.22 | $18.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $11.92
| Professional | | $8.27 | $8.27 | $11.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $10.54 / $21.03
| Professional | | $9.02 | $10.54 | $21.03 |