- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $2.87 / $4.48
| Facility | | $2.87 | $2.87 | $4.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $2.69 / $2.87
| Professional | | $2.62 | $2.69 | $2.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $3.55 / $8.22
| Facility | | $2.47 | $3.55 | $8.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.27 / $3.06
| Professional | | $1.54 | $2.27 | $3.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $3.02 / $8.19
| Facility | | $2.27 | $3.02 | $8.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $1.96 / $3.02
| Professional | | $1.96 | $1.96 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.30 / $4.13
| Professional | | $2.31 | $3.30 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $2.87 / $5.27
| Facility | | $2.73 | $2.87 | $5.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $3.02 / $4.13
| Professional | | $2.62 | $3.02 | $4.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.50 / $3.37
| Professional | | $2.25 | $2.50 | $3.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $2.48 / $2.59
| Professional | | $1.27 | $2.48 | $2.59 |