- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.05 / $6.36 / $47.06
| Facility | | $3.05 | $6.36 | $47.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $2.74 / $3.64
| Professional | | $2.38 | $2.74 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $1.83 / $1.83
| Professional | | $1.83 | $1.83 | $1.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.36 / $3.05 / $3.81
| Facility | | $1.36 | $3.05 | $3.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $1.86 / $2.34
| Professional | | $1.50 | $1.86 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $3.56 / $11.03
| Facility | | $1.98 | $3.56 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.30 / $4.13
| Professional | | $2.34 | $3.30 | $4.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.03 / $3.05 / $3.20
| Professional | | $0.03 | $3.05 | $3.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $1.05 / $1.05
| Professional | | $1.05 | $1.05 | $1.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $2.49 / $3.76
| Professional | | $1.07 | $2.49 | $3.76 |