- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.67 / $32.17 / $82.05
| Facility | | $14.67 | $32.17 | $82.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $10.48 / $36.78
| Professional | | $8.98 | $10.48 | $36.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $24.81 / $31.01
| Professional | | $15.69 | $24.81 | $31.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $23.82 / $41.68
| Professional | | $13.61 | $23.82 | $41.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $20.11 / $58.05
| Facility | | $13.61 | $20.11 | $58.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $13.61 / $34.42
| Professional | | $8.17 | $13.61 | $34.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $24.95 / $42.67
| Facility | | $14.69 | $24.95 | $42.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $24.95 / $35.52
| Professional | | $16.32 | $24.95 | $35.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $8.17 / $29.67
| Professional | | $8.17 | $8.17 | $29.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $13.61 / $13.61
| Professional | | $10.75 | $13.61 | $13.61 |