- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.41 / $25.09 / $105.06
| Facility | | $15.41 | $25.09 | $105.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $15.54 / $19.61
| Professional | | $14.68 | $15.54 | $19.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $10.70 / $11.89
| Professional | | $10.70 | $10.70 | $11.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.34 / $20.10 / $45.84
| Facility | | $12.34 | $20.10 | $45.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $22.54 / $57.40
| Professional | | $14.56 | $22.54 | $57.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.94 / $18.66 / $32.02
| Facility | | $17.94 | $18.66 | $32.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $12.87 / $25.73
| Professional | | $10.70 | $12.87 | $25.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $8.56 / $11.77
| Professional | | $2.14 | $8.56 | $11.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $10.47 / $24.92
| Professional | | $7.13 | $10.47 | $24.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $10.70 / $10.70
| Professional | | $9.24 | $10.70 | $10.70 |