- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $71.17 / $215.22
| Facility | | $10.36 | $71.17 | $215.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $10.33 / $20.66
| Professional | | $8.60 | $10.33 | $20.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.81 / $10.09 / $31.62
| Facility | | $9.81 | $10.09 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.17 / $13.22 / $16.52
| Professional | | $7.17 | $13.22 | $16.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $13.19 / $51.64
| Facility | | $11.47 | $13.19 | $51.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $9.23 / $13.17
| Professional | | $8.77 | $9.23 | $13.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.83 / $16.03
| Professional | | $4.82 | $6.83 | $16.03 |