- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $6.08 / $37.44
| Facility | | $4.50 | $6.08 | $37.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.53 / $4.57
| Professional | | $3.39 | $3.53 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.73 / $2.73
| Professional | | $2.35 | $2.73 | $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 / $3.23 / $5.68
| Professional | | $2.08 | $3.23 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $1.65 / $2.89
| Facility | | $1.65 | $1.65 | $2.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.47 / $5.48
| Professional | | $2.35 | $2.47 | $5.48 |