- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $21.12 / $28.23
| Professional | | $17.78 | $21.12 | $28.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.28 / $43.48 / $58.70
| Professional | | $29.28 | $43.48 | $58.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.97 / $24.70 / $50.02
| Professional | | $17.97 | $24.70 | $50.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.82 / $26.82 / $38.81
| Facility | | $26.82 | $26.82 | $38.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.34 / $29.59 / $51.94
| Professional | | $23.34 | $29.59 | $51.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $18.41 / $33.13
| Professional | | $11.93 | $18.41 | $33.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $28.90 / $38.51
| Professional | | $13.34 | $28.90 | $38.51 |