- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.25 / $23.86 / $85.02
| Facility | | $10.25 | $23.86 | $85.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $9.30 / $11.87
| Professional | | $6.81 | $9.30 | $11.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $13.18 / $35.71
| Facility | | $10.32 | $13.18 | $35.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $6.19 / $11.54
| Professional | | $5.09 | $6.19 | $11.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $17.28 / $34.57
| Facility | | $7.23 | $17.28 | $34.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $11.98 / $15.21
| Professional | | $6.67 | $11.98 | $15.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.19 / $14.42
| Professional | | $4.33 | $6.19 | $14.42 |