- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $12.78 / $61.88
| Facility | | $5.09 | $12.78 | $61.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.64 / $30.41
| Professional | | $3.50 | $3.64 | $30.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $9.14 / $11.42
| Professional | | $5.68 | $9.14 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $8.27 / $18.50
| Professional | | $4.73 | $8.27 | $18.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.73 / $7.21 / $20.64
| Facility | | $4.73 | $7.21 | $20.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $4.79 / $12.02
| Professional | | $2.84 | $4.79 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.27 / $8.78 / $14.83
| Facility | | $5.27 | $8.78 | $14.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $8.78 / $12.41
| Professional | | $5.68 | $8.78 | $12.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $3.61 / $10.88
| Professional | | $2.84 | $3.61 | $10.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $4.73 / $4.73
| Professional | | $3.74 | $4.73 | $4.73 |