- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.40 / $14.68 / $80.37
| Facility | | $3.40 | $14.68 | $80.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.21 / $5.04
| Professional | | $3.07 | $3.21 | $5.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.54 / $2.81
| Professional | | $1.84 | $2.54 | $2.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $7.29 / $12.76
| Facility | | $2.04 | $7.29 | $12.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $3.09 / $4.40
| Professional | | $2.12 | $3.09 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $5.98 / $10.76
| Facility | | $2.57 | $5.98 | $10.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $4.54 / $5.68
| Professional | | $2.50 | $4.54 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.94 / $3.19 / $80.00
| Facility | | $2.94 | $3.19 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.15 / $3.38
| Professional | | $1.54 | $2.15 | $3.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $4.40 / $4.61
| Facility | | $3.30 | $4.40 | $4.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.15 / $2.94
| Professional | | $1.54 | $2.15 | $2.94 |