- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $14.36 / $18.82
| Facility | | $2.74 | $14.36 | $18.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.84 / $2.74
| Professional | | $1.61 | $1.84 | $2.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.85 / $1.91 / $5.98
| Facility | | $1.85 | $1.91 | $5.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.48 / $3.10
| Professional | | $1.40 | $2.48 | $3.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.74 / $3.74
| Professional | | $2.61 | $3.74 | $3.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.50 / $9.76
| Facility | | $2.17 | $2.50 | $9.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.85 / $2.39
| Professional | | $1.67 | $1.85 | $2.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.83 / $2.17
| Professional | | $1.30 | $1.83 | $2.17 |