- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $10.26 / $30.36
| Facility | | $9.30 | $10.26 | $30.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.30 / $10.55
| Professional | | $7.73 | $9.30 | $10.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.67 / $19.70 / $39.96
| Facility | | $19.67 | $19.70 | $39.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $7.56 / $15.17
| Professional | | $5.23 | $7.56 | $15.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $12.31 / $30.25
| Facility | | $7.94 | $12.31 | $30.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $8.57 / $16.52
| Professional | | $7.32 | $8.57 | $16.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $10.55 / $22.76
| Facility | | $6.98 | $10.55 | $22.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $16.66 / $22.00
| Professional | | $14.04 | $16.66 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $8.13 / $15.87
| Professional | | $5.82 | $8.13 | $15.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $77.00 / $100.00
| Facility | | $55.00 | $77.00 | $100.00 |