- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $9.47 / $10.61
| Facility | | $8.84 | $9.47 | $10.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $9.80 / $13.53
| Professional | | $7.48 | $9.80 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.74 / $20.59 / $24.52
| Professional | | $15.74 | $20.59 | $24.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.86 / $21.53 / $32.70
| Professional | | $15.86 | $21.53 | $32.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.43 / $10.08 / $16.60
| Facility | | $8.43 | $10.08 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $13.01 / $63.27
| Professional | | $8.77 | $13.01 | $63.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $10.11 / $19.97
| Professional | | $8.36 | $10.11 | $19.97 |