- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $23.44 / $31.62
| Facility | | $17.78 | $23.44 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $27.54
| Professional | | $10.96 | $16.98 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $14.13 / $26.92
| Professional | | $7.76 | $14.13 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $28.18
| Facility | | $20.42 | $20.42 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $26.92 / $26.92
| Professional | | $18.62 | $26.92 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $17.38 / $33.88
| Facility | | $11.75 | $17.38 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.96 / $25.70
| Professional | | $7.59 | $10.96 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $30.90
| Professional | | $16.22 | $16.22 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $16.22 / $18.20
| Facility | | $15.14 | $16.22 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $17.78 / $21.88
| Professional | | $10.96 | $17.78 | $21.88 |