- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $8.71 / $26.30
| Facility | | $3.89 | $8.71 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $3.98 / $7.94
| Professional | | $3.98 | $3.98 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.34 / $2.75
| Professional | | $1.00 | $2.34 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $37.15 / $60.26
| Facility | | $15.14 | $37.15 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $6.31 / $10.47
| Professional | | $5.50 | $6.31 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $14.13 / $37.15
| Facility | | $3.55 | $14.13 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.47 / $7.76
| Professional | | $2.51 | $3.47 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $6.31 / $12.30
| Facility | | $4.27 | $6.31 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $5.50 / $6.61
| Facility | | $4.90 | $5.50 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.07 / $33.11
| Professional | | $2.75 | $4.07 | $33.11 |