- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $4.45 / $12.71
| Facility | | $2.64 | $4.45 | $12.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $3.21 / $6.46
| Professional | | $2.41 | $3.21 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.62 / $4.43 / $13.87
| Facility | | $2.62 | $4.43 | $13.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $2.41 / $5.36
| Professional | | $1.20 | $2.41 | $5.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $4.01 / $6.42
| Facility | | $2.52 | $4.01 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $7.36 / $12.53
| Facility | | $3.15 | $7.36 | $12.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $4.54 / $6.20
| Professional | | $1.78 | $4.54 | $6.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $5.21 / $8.48
| Professional | | $4.38 | $5.21 | $8.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.34 / $8.26
| Professional | | $2.42 | $3.34 | $8.26 |