- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $12.88 / $72.50
| Facility | | $1.61 | $12.88 | $72.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $13.37 / $16.30
| Professional | | $12.88 | $13.37 | $16.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $14.67 / $17.13
| Facility | | $2.47 | $14.67 | $17.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.48 / $6.52
| Professional | | $1.86 | $2.48 | $6.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.30 / $22.82 / $26.90
| Facility | | $16.30 | $22.82 | $26.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.44 / $21.19 / $32.60
| Professional | | $17.44 | $21.19 | $32.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $12.44 / $22.74
| Facility | | $10.60 | $12.44 | $22.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $18.32 / $78.56
| Professional | | $2.42 | $18.32 | $78.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.97 / $8.97 / $8.97
| Professional | | $8.97 | $8.97 | $8.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $5.35 / $10.48
| Professional | | $2.44 | $5.35 | $10.48 |