- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $13.21 / $15.69
| Professional | | $11.96 | $13.21 | $15.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $22.81 / $25.76
| Professional | | $10.63 | $22.81 | $25.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $11.26 / $16.72
| Professional | | $10.79 | $11.26 | $16.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $20.70 / $39.47
| Professional | | $12.38 | $20.70 | $39.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.51 / $12.51 / $16.07
| Professional | | $12.51 | $12.51 | $16.07 |