- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $11.89 / $72.17
| Facility | | $3.95 | $11.89 | $72.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $3.52 / $4.74
| Professional | | $2.16 | $3.52 | $4.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.37 / $2.74
| Professional | | $1.40 | $2.37 | $2.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $5.71 / $8.47
| Facility | | $4.80 | $5.71 | $8.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $5.28 / $5.66
| Professional | | $5.28 | $5.28 | $5.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.60 / $5.05 / $21.89
| Facility | | $2.60 | $5.05 | $21.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $5.46 / $11.00
| Professional | | $2.43 | $5.46 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.57 / $3.57 / $8.53
| Facility | | $3.57 | $3.57 | $8.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.37 / $8.06
| Professional | | $1.66 | $2.37 | $8.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.37 / $7.03
| Professional | | $1.66 | $2.37 | $7.03 |