- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $16.46 / $82.07
| Facility | | $5.85 | $16.46 | $82.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $4.48 / $8.22
| Professional | | $3.38 | $4.48 | $8.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $3.33 / $3.48
| Professional | | $1.40 | $3.33 | $3.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $14.20 / $21.25
| Facility | | $12.07 | $14.20 | $21.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $8.09 / $8.09
| Professional | | $5.66 | $8.09 | $8.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $6.46 / $27.72
| Facility | | $3.30 | $6.46 | $27.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $7.23 / $16.00
| Professional | | $3.04 | $7.23 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $4.55 / $13.62
| Facility | | $4.55 | $4.55 | $13.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.01 / $9.39
| Professional | | $2.11 | $3.01 | $9.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.01 / $8.02
| Professional | | $2.11 | $3.01 | $8.02 |