- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.32 / $55.02 / $196.67
| Facility | | $4.32 | $55.02 | $196.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $3.54 / $5.39
| Professional | | $3.40 | $3.54 | $5.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $2.36 / $2.36
| Professional | | $2.36 | $2.36 | $2.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $3.93 / $4.91
| Facility | | $1.75 | $3.93 | $4.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $2.37 / $3.01
| Professional | | $1.94 | $2.37 | $3.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $4.59 / $14.20
| Facility | | $2.54 | $4.59 | $14.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.61 / $5.68
| Professional | | $3.02 | $4.61 | $5.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.06 / $3.93 / $5.66
| Professional | | $0.06 | $3.93 | $5.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $1.35
| Professional | | $1.35 | $1.35 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.22 / $4.84
| Professional | | $2.36 | $3.22 | $4.84 |