- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $11.03 / $42.97
| Facility | | $2.82 | $11.03 | $42.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.25 / $7.57
| Professional | | $2.27 | $3.25 | $7.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $1.74 / $1.83
| Professional | | $1.57 | $1.74 | $1.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $4.04 / $10.60
| Facility | | $2.52 | $4.04 | $10.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.04 / $2.09 / $5.55
| Professional | | $1.04 | $2.09 | $5.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $3.48 / $5.57
| Facility | | $2.04 | $3.48 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.25 / $3.48
| Professional | | $2.25 | $2.25 | $3.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $7.66 / $10.47
| Facility | | $3.15 | $7.66 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $4.13 / $5.16
| Professional | | $1.62 | $4.13 | $5.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $6.09 / $7.25
| Professional | | $3.48 | $6.09 | $7.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.74 / $6.90 / $8.69
| Facility | | $5.74 | $6.90 | $8.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.91
| Facility | | $1.47 | $1.47 | $1.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.50 / $4.30
| Professional | | $2.09 | $3.50 | $4.30 |