- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $56.23 / $102.33
| Facility | | $6.03 | $56.23 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.55 / $16.98
| Professional | | $3.02 | $3.55 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $2.75 / $5.62
| Professional | | $1.82 | $2.75 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $33.88 / $63.10
| Facility | | $10.47 | $33.88 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $10.47
| Professional | | $3.98 | $6.03 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $10.96 / $33.11
| Facility | | $2.82 | $10.96 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.45 / $6.17
| Professional | | $1.86 | $2.45 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $4.57 / $12.30
| Facility | | $3.31 | $4.57 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $4.27 / $5.13
| Facility | | $3.89 | $4.27 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.89 / $5.50
| Professional | | $2.51 | $3.89 | $5.50 |