- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $3.94 / $12.65
| Facility | | $2.81 | $3.94 | $12.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.10 / $3.25
| Professional | | $2.74 | $3.10 | $3.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.71 / $3.09 / $10.29
| Facility | | $2.71 | $3.09 | $10.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $1.70 / $2.88
| Professional | | $1.44 | $1.70 | $2.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.43 / $4.26 / $4.63
| Facility | | $3.43 | $4.26 | $4.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $3.94 / $4.86
| Professional | | $3.43 | $3.94 | $4.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $3.43 / $9.23
| Facility | | $2.52 | $3.43 | $9.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $4.13 / $9.14
| Professional | | $2.25 | $4.13 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.43 / $3.43 / $5.58
| Facility | | $3.43 | $3.43 | $5.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $2.06 / $3.43
| Professional | | $1.44 | $2.06 | $3.43 |