- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $25.12 / $75.86
| Facility | | $11.48 | $25.12 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $61.66
| Professional | | $7.94 | $10.96 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $16.98 / $56.23
| Facility | | $12.30 | $16.98 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $10.72 / $31.62
| Professional | | $6.03 | $10.72 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $24.55 / $56.23
| Facility | | $8.32 | $24.55 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $14.79 / $29.51
| Professional | | $7.24 | $14.79 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.30 / $17.78
| Facility | | $7.41 | $12.30 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.41 / $17.78
| Professional | | $5.13 | $7.41 | $17.78 |