- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.89 / $13.74 / $21.43
| Facility | | $12.89 | $13.74 | $21.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.45 / $13.74
| Professional | | $7.40 | $10.45 | $13.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $16.36 / $28.74
| Facility | | $11.36 | $16.36 | $28.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.38 / $10.85 / $14.65
| Professional | | $7.38 | $10.85 | $14.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $16.93 / $21.17
| Professional | | $6.53 | $16.93 | $21.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $13.74 / $25.25
| Facility | | $11.31 | $13.74 | $25.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $12.29 / $17.35
| Professional | | $7.70 | $12.29 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.77 / $11.97 / $16.15
| Professional | | $10.77 | $11.97 | $16.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.44 / $14.46 / $14.46
| Facility | | $14.44 | $14.46 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $7.01 / $8.68
| Professional | | $5.21 | $7.01 | $8.68 |