- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $7.86 / $73.25
| Facility | | $4.51 | $7.86 | $73.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $3.54 / $5.34
| Professional | | $3.40 | $3.54 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.29 / $2.73
| Professional | | $1.97 | $2.29 | $2.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $7.88 / $10.61
| Facility | | $6.50 | $7.88 | $10.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $2.87 / $4.01
| Professional | | $2.73 | $2.87 | $4.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.07 / $4.13 / $12.32
| Facility | | $3.07 | $4.13 | $12.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $3.81 / $5.68
| Professional | | $2.08 | $3.81 | $5.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $2.47 / $5.00
| Professional | | $2.36 | $2.47 | $5.00 |