- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $2.20 / $36.71
| Facility | | $1.98 | $2.20 | $36.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.27 / $2.54
| Professional | | $2.16 | $2.27 | $2.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.27 / $1.27
| Professional | | $1.27 | $1.27 | $1.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $2.29 / $2.67
| Facility | | $1.58 | $2.29 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.25 / $1.86
| Professional | | $1.20 | $1.25 | $1.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $3.05 / $3.63
| Facility | | $2.54 | $3.05 | $3.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.07 / $5.08
| Professional | | $2.54 | $3.07 | $5.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $1.98 / $4.80
| Facility | | $1.65 | $1.98 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $2.89 / $18.04
| Professional | | $1.32 | $2.89 | $18.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.40
| Professional | | $1.40 | $1.40 | $1.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $2.00 / $3.44
| Professional | | $1.07 | $2.00 | $3.44 |