- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $21.41 / $81.47
| Facility | | $3.74 | $21.41 | $81.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.34 / $5.29
| Professional | | $3.75 | $4.34 | $5.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $6.01 / $6.01
| Professional | | $6.01 | $6.01 | $6.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.99 / $4.33 / $5.05
| Facility | | $2.99 | $4.33 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $2.38 / $5.00
| Professional | | $2.38 | $2.38 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $5.77 / $6.82
| Facility | | $4.80 | $5.77 | $6.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $5.82 / $9.61
| Professional | | $4.80 | $5.82 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $3.67 / $8.72
| Facility | | $3.13 | $3.67 | $8.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $5.78 / $31.22
| Professional | | $2.48 | $5.78 | $31.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $2.65 / $2.65
| Professional | | $2.65 | $2.65 | $2.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $4.03 / $6.72
| Professional | | $2.02 | $4.03 | $6.72 |