- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.38 / $12.32 / $31.31
| Facility | | $6.38 | $12.32 | $31.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $3.97 / $6.60
| Professional | | $3.82 | $3.97 | $6.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.15 / $11.58 / $15.80
| Facility | | $7.15 | $11.58 | $15.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $5.37 / $7.64
| Professional | | $3.20 | $5.37 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $11.06 / $11.90
| Professional | | $4.40 | $11.06 | $11.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $5.54 / $14.94
| Facility | | $4.00 | $5.54 | $14.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.05 / $8.86
| Professional | | $4.40 | $5.05 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.28 / $10.25
| Facility | | $4.40 | $5.28 | $10.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $5.54 / $12.76
| Facility | | $4.00 | $5.54 | $12.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.28 / $7.20
| Professional | | $4.40 | $5.28 | $7.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.58 / $13.60 / $18.18
| Facility | | $8.58 | $13.60 | $18.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $5.61 / $10.67
| Professional | | $4.00 | $5.61 | $10.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $6.60 / $7.04
| Facility | | $6.60 | $6.60 | $7.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.52 / $5.28
| Professional | | $1.85 | $2.52 | $5.28 |