- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $6.19 / $16.44
| Facility | | $3.55 | $6.19 | $16.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.46 / $3.90
| Professional | | $3.07 | $3.46 | $3.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.58 / $4.04 / $13.05
| Facility | | $2.58 | $4.04 | $13.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $4.22 / $7.75
| Professional | | $2.49 | $4.22 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $21.12 / $34.04
| Facility | | $3.70 | $21.12 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.04 / $6.01
| Professional | | $3.01 | $3.04 | $6.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.67 / $3.34
| Professional | | $2.43 | $2.67 | $3.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.07 / $5.07 / $7.60
| Facility | | $5.07 | $5.07 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.18 / $6.82
| Professional | | $1.78 | $2.18 | $6.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.04 / $3.04
| Professional | | $2.63 | $3.04 | $3.04 |