- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $14.35 / $36.72
| Facility | | $2.37 | $14.35 | $36.72 |
- 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
- $3.05 / $3.05 / $3.05
| Professional | | $3.05 | $3.05 | $3.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $22.30 / $39.72
| Facility | | $7.31 | $22.30 | $39.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.20 / $7.34
| Professional | | $3.00 | $3.20 | $7.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.54 / $8.83 / $23.40
| Facility | | $5.54 | $8.83 | $23.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.96 / $4.13
| Professional | | $1.48 | $1.96 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.38 / $3.32 / $5.70
| Facility | | $2.38 | $3.32 | $5.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $4.18 / $6.00
| Professional | | $3.00 | $4.18 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $1.68 / $2.42
| Professional | | $1.68 | $1.68 | $2.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $2.63 / $4.24
| Professional | | $1.53 | $2.63 | $4.24 |