- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.45 / $9.67 / $12.84
| Facility | | $5.45 | $9.67 | $12.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.54 / $37.42
| Professional | | $4.37 | $4.54 | $37.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $5.82 / $7.28
| Facility | | $2.59 | $5.82 | $7.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.37 / $4.26
| Professional | | $2.33 | $3.37 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.78 / $6.80 / $21.05
| Facility | | $3.78 | $6.80 | $21.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $6.61 / $8.26
| Professional | | $3.24 | $6.61 | $8.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $5.82 / $6.11
| Professional | | $0.05 | $5.82 | $6.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.47
| Professional | | $1.47 | $1.47 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.73 / $8.73 / $8.73
| Facility | | $8.73 | $8.73 | $8.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $2.52 / $5.82
| Professional | | $2.44 | $2.52 | $5.82 |