- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $10.70 / $23.82
| Facility | | $4.84 | $10.70 | $23.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.75 / $5.12
| Professional | | $4.51 | $4.75 | $5.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.30 / $3.30
| Professional | | $3.30 | $3.30 | $3.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $5.91 / $14.16
| Facility | | $3.81 | $5.91 | $14.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $6.20 / $8.06
| Professional | | $3.62 | $6.20 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $31.30 / $50.45
| Facility | | $5.48 | $31.30 | $50.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.82 / $7.69
| Professional | | $3.30 | $3.82 | $7.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.90 / $3.63
| Professional | | $2.64 | $2.90 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.93 / $2.76 / $5.50
| Facility | | $1.93 | $2.76 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $3.30 / $19.23
| Professional | | $2.20 | $3.30 | $19.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.30 / $3.30
| Professional | | $2.85 | $3.30 | $3.30 |