- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.19 / $56.23 / $104.36
| Facility | | $15.19 | $56.23 | $104.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $10.38 / $15.19
| Professional | | $9.36 | $10.38 | $15.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $11.13 / $34.89
| Facility | | $10.82 | $11.13 | $34.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $14.46 / $18.07
| Professional | | $7.48 | $14.46 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.66 / $14.56 / $53.95
| Facility | | $12.66 | $14.56 | $53.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $10.31 / $14.76
| Professional | | $9.69 | $10.31 | $14.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $7.09 / $7.60
| Professional | | $5.32 | $7.09 | $7.60 |