- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.79 / $8.05 / $36.40
| Facility | | $2.79 | $8.05 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.27 / $4.42
| Professional | | $1.97 | $2.27 | $4.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.52
| Professional | | $1.52 | $1.52 | $1.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $3.25 / $8.34
| Facility | | $1.84 | $3.25 | $8.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.93 / $1.25 / $5.19
| Professional | | $0.93 | $1.25 | $5.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $2.54 / $4.05
| Facility | | $1.65 | $2.54 | $4.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $1.65 / $2.54
| Professional | | $1.65 | $1.65 | $2.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.58 / $5.59 / $8.17
| Facility | | $2.58 | $5.59 | $8.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $2.89 / $3.61
| Professional | | $1.83 | $2.89 | $3.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $3.30 / $9.13
| Professional | | $2.78 | $3.30 | $9.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.09 / $5.33
| Professional | | $1.40 | $2.09 | $5.33 |