- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $4.82 / $15.40
| Facility | | $4.49 | $4.82 | $15.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $4.43 / $4.49
| Professional | | $2.87 | $4.43 | $4.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.50 / $11.70 / $17.77
| Facility | | $9.50 | $11.70 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.52 / $3.65
| Professional | | $2.52 | $2.52 | $3.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.59 / $5.47 / $15.12
| Facility | | $3.59 | $5.47 | $15.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $3.83 / $7.74
| Professional | | $3.33 | $3.83 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.37 / $6.07 / $10.11
| Facility | | $3.37 | $6.07 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $7.11 / $10.00
| Professional | | $5.19 | $7.11 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $3.62 / $7.06
| Professional | | $2.81 | $3.62 | $7.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $100.00
| Facility | | $50.00 | $70.00 | $100.00 |