- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $44.66 / $60.52
| Facility | | $5.61 | $44.66 | $60.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $4.34 / $6.04
| Professional | | $2.15 | $4.34 | $6.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.51 / $3.62 / $4.19
| Professional | | $1.51 | $3.62 | $4.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $16.66 / $24.14
| Facility | | $12.41 | $16.66 | $24.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $5.74 / $6.17
| Professional | | $5.74 | $5.74 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $4.22 / $9.86
| Facility | | $3.93 | $4.22 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $6.10 / $8.77
| Professional | | $2.74 | $6.10 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $6.00 / $100.00
| Facility | | $5.46 | $6.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.45 / $7.55
| Professional | | $2.54 | $3.45 | $7.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.37 / $10.37 / $10.37
| Facility | | $10.37 | $10.37 | $10.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.11 / $3.93
| Professional | | $2.54 | $3.11 | $3.93 |