- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.74 / $16.93 / $44.59
| Facility | | $14.74 | $16.93 | $44.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $14.69 / $24.26
| Professional | | $10.62 | $14.69 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $13.59 / $13.59 / $18.01
| Professional | 25 | $13.59 | $13.59 | $18.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.04 / $58.73 / $63.38
| Facility | | $57.04 | $58.73 | $63.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.27 / $13.90 / $18.88
| Professional | | $11.27 | $13.90 | $18.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.27 / $16.32 / $30.82
| Professional | | $11.27 | $16.32 | $30.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $20.83 / $25.63
| Professional | | $13.38 | $20.83 | $25.63 |