- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.32 / $48.18 / $98.38
| Facility | | $26.32 | $48.18 | $98.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $14.03 / $16.73
| Professional | | $14.03 | $14.03 | $16.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.14 / $21.05 / $32.61
| Facility | | $20.14 | $21.05 | $32.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $12.83 / $30.61
| Professional | | $8.98 | $12.83 | $30.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.01 / $38.39 / $67.48
| Facility | | $15.01 | $38.39 | $67.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.63 / $17.77 / $24.78
| Professional | | $11.63 | $17.77 | $24.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $14.70 / $27.38
| Professional | | $7.19 | $14.70 | $27.38 |