- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $25.70 / $33.88
| Facility | | $3.98 | $25.70 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $5.01
| Professional | | $3.02 | $3.98 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $4.47 / $14.13
| Facility | | $4.37 | $4.47 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $6.76 / $7.76
| Professional | | $2.34 | $6.76 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $15.49 / $24.55
| Facility | | $5.13 | $15.49 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.37 / $4.57
| Professional | | $3.47 | $4.37 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.13 / $16.22
| Professional | | $3.63 | $5.13 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.47 / $7.76
| Professional | | $4.07 | $4.47 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $8.91
| Facility | | $2.57 | $2.57 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.24 / $5.25
| Professional | | $2.14 | $2.24 | $5.25 |