- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.38 / $5.73 / $16.32
| Facility | | $3.38 | $5.73 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $3.38 / $3.62
| Professional | | $3.04 | $3.38 | $3.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $4.15 / $14.05
| Facility | | $2.56 | $4.15 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $4.22 / $7.23
| Professional | | $2.47 | $4.22 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.77 / $21.39 / $33.79
| Facility | | $10.77 | $21.39 | $33.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $5.57
| Professional | | $2.82 | $2.82 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.07 / $3.37
| Professional | | $3.07 | $3.07 | $3.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.70 / $4.70 / $7.05
| Facility | | $4.70 | $4.70 | $7.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $3.01 / $6.33
| Professional | | $2.12 | $3.01 | $6.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.07 / $3.07
| Professional | | $2.43 | $3.07 | $3.07 |