- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.72 / $7.53 / $13.17
| Facility | | $2.72 | $7.53 | $13.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.04 / $18.10
| Professional | | $2.69 | $3.04 | $18.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.78 / $10.35 / $16.39
| Facility | | $3.78 | $10.35 | $16.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $1.50 / $2.74
| Professional | | $1.50 | $1.50 | $2.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $3.15 / $12.47
| Facility | | $2.10 | $3.15 | $12.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $4.30 / $14.53
| Professional | | $2.36 | $4.30 | $14.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.72 / $2.97 / $28.38
| Facility | | $2.72 | $2.97 | $28.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $4.65 / $13.21
| Professional | | $2.40 | $4.65 | $13.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $12.01 / $20.47
| Facility | | $3.58 | $12.01 | $20.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $2.15 / $9.55
| Professional | | $1.50 | $2.15 | $9.55 |