- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.67 / $32.17 / $48.40
| Facility | | $14.67 | $32.17 | $48.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $10.48 / $36.78
| Professional | | $8.98 | $10.48 | $36.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $24.81 / $31.01
| Professional | | $15.69 | $24.81 | $31.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $23.82 / $30.31
| Professional | | $13.61 | $23.82 | $30.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $19.09 / $54.57
| Facility | | $13.61 | $19.09 | $54.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $13.61 / $32.79
| Professional | | $8.17 | $13.61 | $32.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.95 / $24.95 / $41.08
| Facility | | $13.95 | $24.95 | $41.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $24.95 / $35.52
| Professional | | $16.32 | $24.95 | $35.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $8.17 / $31.30
| Professional | | $8.17 | $8.17 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $13.61 / $13.61
| Professional | | $10.75 | $13.61 | $13.61 |