- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.65 / $45.12 / $86.54
| Facility | | $24.65 | $45.12 | $86.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $13.12 / $15.68
| Professional | | $12.94 | $13.12 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.73 / $18.51 / $30.54
| Facility | | $17.73 | $18.51 | $30.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $11.29 / $27.89
| Professional | | $7.90 | $11.29 | $27.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.01 / $35.93 / $63.15
| Facility | | $14.01 | $35.93 | $63.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.92 / $16.30 / $21.68
| Professional | | $10.92 | $16.30 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.99 / $29.78
| Professional | | $5.25 | $10.99 | $29.78 |