- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $4.66 / $22.19
| Facility | | $2.65 | $4.66 | $22.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.60 / $9.44
| Professional | | $3.11 | $5.60 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $7.63 / $21.33
| Facility | | $3.31 | $7.63 | $21.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.81 / $9.10
| Professional | | $2.10 | $3.81 | $9.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $7.00 / $11.20
| Facility | | $3.98 | $7.00 | $11.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $12.54 / $21.95
| Facility | | $3.15 | $12.54 | $21.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $8.26 / $10.84
| Professional | | $2.63 | $8.26 | $10.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.05 / $10.55
| Professional | | $6.46 | $8.05 | $10.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.93 / $6.30 / $7.00
| Facility | | $2.93 | $6.30 | $7.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $3.46 / $7.31
| Professional | | $3.15 | $3.46 | $7.31 |