- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.94 / $4.12 / $13.23
| Facility | | $2.94 | $4.12 | $13.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $2.94 / $10.81
| Professional | | $2.86 | $2.94 | $10.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $3.42 / $14.32
| Facility | | $2.83 | $3.42 | $14.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $1.85 / $21.19
| Professional | | $1.77 | $1.85 | $21.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $4.30 / $4.83
| Facility | | $3.58 | $4.30 | $4.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $4.12 / $5.07
| Professional | | $3.58 | $4.12 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $3.58 / $11.62
| Facility | | $2.87 | $3.58 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.38 / $31.84
| Professional | | $3.14 | $4.38 | $31.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $3.58 / $10.91
| Facility | | $1.25 | $3.58 | $10.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $3.36 / $13.64
| Professional | | $1.50 | $3.36 | $13.64 |