- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $10.78 / $14.31
| Facility | | $6.07 | $10.78 | $14.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $5.05 / $41.73
| Professional | | $4.87 | $5.05 | $41.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $6.49 / $8.11
| Facility | | $2.89 | $6.49 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.92 / $4.76
| Professional | | $2.60 | $3.92 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $7.60 / $23.51
| Facility | | $4.22 | $7.60 | $23.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $7.43 / $9.28
| Professional | | $3.78 | $7.43 | $9.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.07 / $6.49 / $6.81
| Professional | | $0.07 | $6.49 | $6.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $1.70 / $1.70
| Professional | | $1.70 | $1.70 | $1.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.41 / $3.41 / $3.41
| Facility | | $3.41 | $3.41 | $3.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $2.91 / $6.49
| Professional | | $2.73 | $2.91 | $6.49 |