- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $71.95 / $150.44
| Facility | | $4.40 | $71.95 | $150.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.49 / $5.48
| Professional | | $3.23 | $3.49 | $5.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $2.36 / $3.01
| Professional | | $2.36 | $2.36 | $3.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.66 / $4.21 / $10.09
| Facility | | $2.66 | $4.21 | $10.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $4.49 / $6.20
| Professional | | $2.63 | $4.49 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.62 / $2.62 / $4.05
| Facility | | $2.62 | $2.62 | $4.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $2.72 / $5.48
| Professional | | $2.36 | $2.72 | $5.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $2.07 / $2.59
| Professional | | $1.89 | $2.07 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $3.23 / $5.48
| Professional | | $1.77 | $3.23 | $5.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.36 / $2.36
| Professional | | $2.04 | $2.36 | $2.36 |