- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $10.48 / $58.92
| Facility | | $4.40 | $10.48 | $58.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $4.13 / $4.51
| Professional | | $3.56 | $4.13 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $4.38 / $7.07
| Professional | | $3.85 | $4.38 | $7.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $3.29 / $6.15
| Facility | | $2.52 | $3.29 | $6.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $5.05 / $7.84
| Professional | | $2.52 | $5.05 | $7.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $5.94 / $7.13
| Professional | | $4.75 | $5.94 | $7.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $3.42 / $4.84
| Professional | | $2.38 | $3.42 | $4.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $4.66 / $4.66
| Professional | | $2.34 | $4.66 | $4.66 |