- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $5.32 / $81.28
| Facility | | $4.20 | $5.32 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.36 / $5.32
| Professional | | $4.20 | $4.36 | $5.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.77 / $4.79 / $5.59
| Facility | | $2.77 | $4.79 | $5.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.63 / $2.70 / $3.41
| Professional | | $1.63 | $2.70 | $3.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.32 / $7.45 / $8.77
| Facility | | $5.32 | $7.45 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $6.92 / $10.64
| Professional | | $5.69 | $6.92 | $10.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $4.05 / $7.77
| Facility | | $3.46 | $4.05 | $7.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $5.78 / $25.64
| Professional | | $2.18 | $5.78 | $25.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $2.93 / $2.93
| Professional | | $2.93 | $2.93 | $2.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $4.54 / $5.32
| Professional | | $2.52 | $4.54 | $5.32 |