- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $14.67 / $57.40
| Facility | | $4.40 | $14.67 | $57.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.97 / $6.04
| Professional | | $3.64 | $3.97 | $6.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.62 / $15.22
| Facility | | $4.40 | $5.62 | $15.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.18 / $5.09
| Professional | | $2.18 | $2.18 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $7.25 / $14.65
| Facility | | $3.08 | $7.25 | $14.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.83 / $5.37 / $6.71
| Professional | | $2.83 | $5.37 | $6.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $4.40 / $5.28
| Facility | | $3.96 | $4.40 | $5.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.64 / $6.16
| Professional | | $1.85 | $2.64 | $6.16 |