- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $13.65 / $49.17
| Facility | | $7.04 | $13.65 | $49.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.65 / $5.78
| Professional | | $4.51 | $4.65 | $5.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $3.47 / $3.61
| Professional | | $3.47 | $3.47 | $3.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $11.93 / $17.68
| Facility | | $10.09 | $11.93 | $17.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $8.63 / $8.63
| Professional | | $6.79 | $8.63 | $8.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.59 / $6.65 / $29.19
| Facility | | $3.59 | $6.65 | $29.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $8.26 / $13.00
| Professional | | $3.19 | $8.26 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $4.69 / $11.21
| Facility | | $4.69 | $4.69 | $11.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.82 / $10.81
| Professional | | $2.43 | $3.82 | $10.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.47 / $12.03
| Professional | | $2.43 | $3.47 | $12.03 |