- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.38 / $54.78 / $71.45
| Facility | | $32.38 | $54.78 | $71.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $9.97 / $10.31
| Professional | | $9.67 | $9.97 | $10.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.03 / $24.28 / $27.25
| Professional | | $20.03 | $24.28 | $27.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.63 / $13.77 / $17.30
| Professional | | $13.63 | $13.77 | $17.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $18.07 / $54.53
| Facility | | $8.56 | $18.07 | $54.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $11.53 / $19.60
| Professional | | $4.84 | $11.53 | $19.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.88 / $16.14
| Professional | | $4.84 | $5.88 | $16.14 |