- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $41.18 / $71.17
| Facility | | $10.36 | $41.18 | $71.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $10.53 / $12.48
| Professional | | $8.47 | $10.53 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $10.39 / $32.56
| Facility | | $10.10 | $10.39 | $32.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $13.63 / $17.04
| Professional | | $7.48 | $13.63 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $13.59 / $53.22
| Facility | | $11.82 | $13.59 | $53.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $9.76 / $13.57
| Professional | | $9.05 | $9.76 | $13.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $6.99 / $7.09
| Professional | | $4.96 | $6.99 | $7.09 |