- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $5.48 / $16.47
| Facility | | $3.31 | $5.48 | $16.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.31 / $3.47
| Professional | | $3.07 | $3.31 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.58 / $4.05 / $11.55
| Facility | | $2.58 | $4.05 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $4.22 / $6.71
| Professional | | $2.47 | $4.22 | $6.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $21.16 / $34.11
| Facility | | $3.70 | $21.16 | $34.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $2.69 / $5.32
| Professional | | $2.69 | $2.69 | $5.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.36 / $2.95
| Professional | | $2.15 | $2.36 | $2.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.74 / $6.74 / $6.74
| Facility | | $6.74 | $6.74 | $6.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.24 / $7.35
| Professional | | $1.78 | $2.24 | $7.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $2.69 / $2.69
| Professional | | $2.33 | $2.69 | $2.69 |