- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.39 / $35.96 / $71.73
| Facility | | $16.39 | $35.96 | $71.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $16.05 / $16.29
| Professional | | $12.05 | $16.05 | $16.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $39.47 / $65.79
| Facility | | $10.06 | $39.47 | $65.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $15.14 / $21.58
| Professional | | $10.41 | $15.14 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.57 / $29.23 / $52.61
| Facility | | $12.57 | $29.23 | $52.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $21.89 / $27.36
| Professional | | $12.15 | $21.89 | $27.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $16.29 / $86.10
| Facility | | $13.49 | $16.29 | $86.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $10.55 / $14.68
| Professional | | $7.55 | $10.55 | $14.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $21.58 / $22.61
| Facility | | $16.18 | $21.58 | $22.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $10.55 / $11.03
| Professional | | $7.55 | $10.55 | $11.03 |