- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $5.81 / $11.23
| Facility | | $4.80 | $5.81 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.89 / $5.50
| Professional | | $2.72 | $3.89 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $10.05 / $11.67
| Facility | | $6.53 | $10.05 | $11.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $4.17 / $7.05
| Professional | | $1.78 | $4.17 | $7.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $9.47 / $10.21
| Professional | | $4.01 | $9.47 | $10.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $4.01 / $8.36
| Facility | | $2.31 | $4.01 | $8.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.01 / $8.40
| Professional | | $3.25 | $4.01 | $8.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.53 / $8.85
| Facility | | $4.01 | $4.53 | $8.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $4.80 / $10.57
| Facility | | $2.92 | $4.80 | $10.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.41 / $5.61
| Professional | | $3.06 | $4.41 | $5.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.82 / $12.20 / $15.96
| Facility | | $7.82 | $12.20 | $15.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.65 / $9.85
| Professional | | $2.42 | $3.65 | $9.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.41 / $4.80
| Professional | | $1.93 | $2.41 | $4.80 |