- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.23 / $31.50 / $67.36
| Facility | | $2.23 | $31.50 | $67.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.14 / $4.22
| Professional | | $2.04 | $2.14 | $4.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $3.37 / $5.56
| Facility | | $2.37 | $3.37 | $5.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.37 / $2.37
| Professional | | $1.90 | $2.37 | $2.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $8.36 / $20.11
| Facility | | $4.62 | $8.36 | $20.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.15 / $4.40
| Professional | | $2.50 | $3.15 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $7.64 / $15.84
| Facility | | $4.57 | $7.64 | $15.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.48 / $3.92
| Professional | | $2.48 | $2.48 | $3.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $15.58 / $64.54
| Facility | | $3.46 | $15.58 | $64.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.60 / $7.35
| Professional | | $1.42 | $2.60 | $7.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.60 / $5.05
| Professional | | $1.42 | $2.60 | $5.05 |