- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.12 / $33.93 / $45.05
| Facility | | $19.12 | $33.93 | $45.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $18.23 / $23.48
| Professional | | $10.82 | $18.23 | $23.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $20.42 / $25.53
| Facility | | $9.09 | $20.42 | $25.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $12.35 / $15.68
| Professional | | $10.08 | $12.35 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.27 / $23.89 / $73.91
| Facility | | $13.27 | $23.89 | $73.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.31 / $23.54 / $29.43
| Professional | | $15.31 | $23.54 | $29.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.25 / $20.42 / $21.44
| Professional | | $0.25 | $20.42 | $21.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $7.02 / $7.02
| Professional | | $7.02 | $7.02 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.02 / $14.02 / $14.02
| Facility | | $14.02 | $14.02 | $14.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $11.98 / $25.21
| Professional | | $8.58 | $11.98 | $25.21 |