- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.38 / $7.76 / $46.24
| Facility | | $5.38 | $7.76 | $46.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $4.79 / $5.34
| Professional | | $3.58 | $4.79 | $5.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.78 / $25.39
| Facility | | $5.50 | $5.78 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.63 / $14.81
| Professional | | $2.72 | $4.63 | $14.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $11.55 / $30.64
| Facility | | $7.34 | $11.55 | $30.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $5.62 / $8.23
| Professional | | $3.20 | $5.62 | $8.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $8.84 / $69.81
| Facility | | $4.80 | $8.84 | $69.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.07 / $6.68
| Professional | | $2.31 | $4.07 | $6.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.48 / $5.50 / $5.50
| Facility | | $2.48 | $5.50 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.51 / $7.13
| Professional | | $2.31 | $4.51 | $7.13 |