- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.19 / $73.06 / $104.36
| Facility | | $15.19 | $73.06 | $104.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $11.16 / $15.19
| Professional | | $9.80 | $11.16 | $15.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.64 / $11.97 / $37.52
| Facility | | $11.64 | $11.97 | $37.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $15.69 / $19.62
| Professional | | $7.48 | $15.69 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $15.65 / $55.12
| Facility | | $13.61 | $15.65 | $55.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $11.12 / $15.56
| Professional | | $10.42 | $11.12 | $15.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.09 / $8.17
| Professional | | $5.72 | $7.09 | $8.17 |