- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $24.48 / $58.41
| Facility | | $2.63 | $24.48 | $58.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.27 / $2.79
| Professional | | $2.16 | $2.27 | $2.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.52 / $1.52
| Professional | | $1.27 | $1.52 | $1.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.72 / $2.74 / $6.53
| Facility | | $1.72 | $2.74 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $2.82 / $3.63
| Professional | | $1.65 | $2.82 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $14.47 / $23.32
| Facility | | $2.52 | $14.47 | $23.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.76 / $3.55
| Professional | | $1.52 | $1.76 | $3.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.34 / $1.67
| Professional | | $1.22 | $1.34 | $1.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.02 / $1.49 / $3.55
| Professional | | $1.02 | $1.49 | $3.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $1.52 / $1.52
| Professional | | $1.32 | $1.52 | $1.52 |