- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $9.09 / $15.86
| Facility | | $3.28 | $9.09 | $15.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.66 / $5.17
| Professional | | $3.23 | $3.66 | $5.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $12.46 / $19.73
| Facility | | $4.55 | $12.46 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $3.62
| Professional | | $1.81 | $1.81 | $3.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $4.12 / $11.09
| Facility | | $2.52 | $4.12 | $11.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.93 / $6.20
| Professional | | $2.63 | $3.93 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $5.17 / $8.47
| Facility | | $3.28 | $5.17 | $8.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $5.60 / $15.90
| Professional | | $2.89 | $5.60 | $15.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $7.19 / $7.19
| Facility | | $7.19 | $7.19 | $7.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.48 / $3.19
| Professional | | $1.81 | $2.48 | $3.19 |