- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $48.98 / $104.71
| Facility | | $3.80 | $48.98 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $10.47
| Professional | | $3.02 | $3.98 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.82 / $4.47
| Professional | | $1.91 | $2.82 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $25.12 / $56.23
| Facility | | $5.75 | $25.12 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $5.01 / $10.00
| Professional | | $2.00 | $5.01 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $11.48 / $37.15
| Facility | | $2.95 | $11.48 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.75 / $6.76
| Professional | | $2.04 | $2.75 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $5.25 / $11.48
| Facility | | $3.55 | $5.25 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $4.47 / $5.37
| Facility | | $4.07 | $4.47 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.82 / $6.31
| Professional | | $1.91 | $2.82 | $6.31 |