- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.64 / $22.72 / $30.90
| Professional | | $20.64 | $22.72 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.67 / $16.45 / $16.45
| Professional | | $15.67 | $16.45 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.50 / $32.78 / $37.65
| Professional | | $24.50 | $32.78 | $37.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.64 / $33.71 / $41.89
| Professional | | $23.64 | $33.71 | $41.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.64 / $26.47 / $43.83
| Facility | | $20.64 | $26.47 | $43.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.80 / $29.66 / $342.78
| Professional | | $22.80 | $29.66 | $342.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.52 / $28.15 / $46.96
| Professional | | $22.52 | $28.15 | $46.96 |