- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $17.78 / $173.78
| Facility | | $3.98 | $17.78 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $57.54
| Professional | | $3.02 | $3.02 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $33.88 / $37.15
| Facility | | $4.68 | $33.88 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.29 / $4.79
| Professional | | $1.58 | $2.29 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $5.25 / $9.12
| Facility | | $4.47 | $5.25 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $4.57 / $5.62
| Professional | | $2.29 | $4.57 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $4.79
| Professional | | $3.02 | $3.98 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $17.78 / $169.82
| Facility | | $3.98 | $17.78 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.07 / $16.60
| Professional | | $3.02 | $4.07 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.98 / $7.59
| Professional | | $2.40 | $3.98 | $7.59 |