- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $5.45 / $14.37
| Facility | | $3.13 | $5.45 | $14.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $3.02 / $3.44
| Professional | | $2.68 | $3.02 | $3.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $3.52 / $11.51
| Facility | | $2.24 | $3.52 | $11.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.65 / $6.71
| Professional | | $2.17 | $3.65 | $6.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.23 / $18.48 / $29.78
| Facility | | $3.23 | $18.48 | $29.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $2.68 / $5.30
| Professional | | $2.63 | $2.68 | $5.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.35 / $2.94
| Professional | | $2.14 | $2.35 | $2.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $6.70
| Facility | | $4.47 | $4.47 | $6.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $1.99 / $5.90
| Professional | | $1.56 | $1.99 | $5.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $2.68 / $2.68
| Professional | | $2.31 | $2.68 | $2.68 |