- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.67 / $9.65 / $76.50
| Facility | | $4.67 | $9.65 | $76.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.25 / $4.87
| Professional | | $2.86 | $3.25 | $4.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.43 / $5.32 / $16.69
| Facility | | $3.43 | $5.32 | $16.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $5.62 / $9.81
| Professional | | $3.29 | $5.62 | $9.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $19.36 / $31.20
| Facility | | $3.48 | $19.36 | $31.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $3.89 / $6.49
| Professional | | $3.20 | $3.89 | $6.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $2.83 / $3.54
| Professional | | $2.58 | $2.83 | $3.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $3.15 / $6.49
| Facility | | $2.27 | $3.15 | $6.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.73 / $6.68
| Professional | | $2.00 | $2.73 | $6.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.22 / $3.36
| Professional | | $3.22 | $3.22 | $3.36 |