- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $13.81 / $24.02
| Facility | | $12.01 | $13.81 | $24.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $30.96 / $32.13
| Professional | | $10.48 | $30.96 | $32.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.88 / $16.84 / $22.66
| Facility | | $13.88 | $16.84 | $22.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.34 / $8.77 / $12.26
| Professional | | $8.34 | $8.77 | $12.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.39 / $12.64 / $38.00
| Facility | | $9.39 | $12.64 | $38.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $9.23 / $17.04
| Professional | | $6.32 | $9.23 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.02 / $9.81
| Professional | | $5.04 | $6.02 | $9.81 |