- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.26 / $23.06 / $78.41
| Facility | | $5.26 | $23.06 | $78.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $5.13 / $35.54
| Professional | | $4.33 | $5.13 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.01 / $4.44
| Professional | | $2.89 | $4.01 | $4.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.23 / $12.07 / $21.15
| Facility | | $3.23 | $12.07 | $21.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $4.87 / $6.94
| Professional | | $3.35 | $4.87 | $6.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $9.40 / $16.92
| Facility | | $4.05 | $9.40 | $16.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.83 / $7.02 / $8.77
| Professional | | $3.83 | $7.02 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $4.62 / $60.00
| Facility | | $4.34 | $4.62 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.40 / $8.09
| Professional | | $2.43 | $3.40 | $8.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.40 / $4.62
| Professional | | $2.43 | $3.40 | $4.62 |