- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $23.91 / $42.08
| Facility | | $20.32 | $23.91 | $42.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.93 / $20.30 / $26.13
| Professional | | $16.93 | $20.30 | $26.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.12 / $65.48 / $84.48
| Facility | | $31.12 | $65.48 | $84.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.53 / $21.62 / $33.02
| Professional | | $16.53 | $21.62 | $33.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.42 / $21.79 / $24.62
| Facility | | $21.42 | $21.79 | $24.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $23.73 / $42.19
| Professional | | $15.91 | $23.73 | $42.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.02 / $21.85 / $39.68
| Professional | | $15.02 | $21.85 | $39.68 |