- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $27.24 / $41.78
| Facility | | $10.30 | $27.24 | $41.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $11.21 / $11.91
| Professional | | $6.82 | $11.21 | $11.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $14.16 / $22.78
| Facility | | $11.36 | $14.16 | $22.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $6.36 / $13.89
| Professional | | $6.36 | $6.36 | $13.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $12.87 / $17.37
| Facility | | $10.33 | $12.87 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $16.73 / $17.37
| Professional | | $10.94 | $16.73 | $17.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $13.26 / $29.02
| Facility | | $8.36 | $13.26 | $29.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $10.33 / $18.73
| Professional | | $6.60 | $10.33 | $18.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $13.26 / $48.83
| Facility | | $8.36 | $13.26 | $48.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $8.36 / $17.29
| Professional | | $6.60 | $8.36 | $17.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.61 / $15.44
| Professional | | $7.08 | $10.61 | $15.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.72 / $17.98
| Professional | | $5.41 | $7.72 | $17.98 |