- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $6.41 / $23.18
| Facility | | $2.85 | $6.41 | $23.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.06 / $6.50
| Professional | | $2.31 | $3.06 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $3.48 / $10.44
| Facility | | $2.75 | $3.48 | $10.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.99 / $2.09 / $2.90
| Professional | | $1.99 | $2.09 | $2.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $3.83 / $4.87
| Facility | | $3.48 | $3.83 | $4.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.65 / $4.70
| Professional | | $2.25 | $3.65 | $4.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $3.48 / $9.43
| Facility | | $2.25 | $3.48 | $9.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $4.13 / $6.35
| Professional | | $1.68 | $4.13 | $6.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $3.48 / $5.01
| Facility | | $1.75 | $3.48 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $3.36 / $3.74
| Professional | | $1.77 | $3.36 | $3.74 |