- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.41 / $29.03 / $82.65
| Facility | | $4.41 | $29.03 | $82.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.21 / $6.26
| Professional | | $3.07 | $3.21 | $6.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $2.54 / $6.42
| Professional | | $2.20 | $2.54 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $12.67 / $18.77
| Facility | | $11.31 | $12.67 | $18.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $6.67 / $6.67
| Professional | | $4.87 | $6.67 | $6.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $4.70 / $20.42
| Facility | | $2.41 | $4.70 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $5.16 / $14.00
| Professional | | $2.27 | $5.16 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $3.19 / $9.94
| Facility | | $3.19 | $3.19 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.20 / $7.49
| Professional | | $1.84 | $2.20 | $7.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $3.67 / $5.51
| Facility | | $1.32 | $3.67 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.20 / $7.64
| Professional | | $1.54 | $2.20 | $7.64 |