- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $40.08 / $56.46
| Facility | | $7.60 | $40.08 | $56.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.13 / $5.67
| Professional | | $3.80 | $4.13 | $5.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $3.29 / $3.29
| Professional | | $3.29 | $3.29 | $3.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $24.90 / $60.01
| Facility | | $10.71 | $24.90 | $60.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $7.44 / $12.00
| Professional | | $7.00 | $7.44 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.64 / $13.78 / $38.22
| Facility | | $8.64 | $13.78 | $38.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.65 / $7.23
| Professional | | $2.47 | $3.65 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.71 / $5.48 / $9.30
| Facility | | $3.71 | $5.48 | $9.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $6.80 / $9.00
| Professional | | $4.00 | $6.80 | $9.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $2.61 / $3.76
| Professional | | $2.61 | $2.61 | $3.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $4.51 / $6.93
| Professional | | $2.38 | $4.51 | $6.93 |