- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $10.09 / $110.49
| Facility | | $5.31 | $10.09 | $110.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.78 / $6.10
| Professional | | $4.84 | $5.78 | $6.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $3.24
| Professional | | $3.24 | $3.24 | $3.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $5.91 / $19.41
| Facility | | $5.11 | $5.91 | $19.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.19 / $4.74
| Professional | | $3.06 | $3.19 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $7.12 / $9.06
| Facility | | $6.47 | $7.12 | $9.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $6.79 / $8.73
| Professional | | $4.21 | $6.79 | $8.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.74 / $6.47 / $16.76
| Facility | | $4.74 | $6.47 | $16.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $7.43 / $14.46
| Professional | | $4.26 | $7.43 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $6.47 / $6.47
| Facility | | $2.25 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.88 / $7.11
| Professional | | $2.72 | $3.88 | $7.11 |