- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.28 / $31.64 / $77.73
| Facility | | $17.28 | $31.64 | $77.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $12.26 / $18.91
| Professional | | $11.09 | $12.26 | $18.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.37 / $15.92 / $17.30
| Facility | | $14.37 | $15.92 | $17.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $10.14 / $22.84
| Professional | | $7.10 | $10.14 | $22.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $32.26 / $56.71
| Facility | | $12.76 | $32.26 | $56.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $11.67 / $19.62
| Professional | | $9.84 | $11.67 | $19.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.85 / $21.63
| Professional | | $5.25 | $8.85 | $21.63 |