- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $5.92 / $17.39
| Facility | | $3.63 | $5.92 | $17.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $3.63 / $3.91
| Professional | | $3.46 | $3.63 | $3.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $4.50 / $10.80
| Facility | | $2.85 | $4.50 | $10.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $4.78 / $6.44
| Professional | | $2.80 | $4.78 | $6.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.18 / $23.93 / $38.57
| Facility | | $4.18 | $23.93 | $38.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.92 / $5.88
| Professional | | $2.52 | $2.92 | $5.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.25 / $2.81
| Professional | | $2.04 | $2.25 | $2.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $6.30
| Facility | | $4.20 | $4.20 | $6.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $2.47 / $6.30
| Professional | | $1.68 | $2.47 | $6.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.56 / $2.56
| Professional | | $2.18 | $2.56 | $2.56 |