- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $46.80 / $68.59
| Facility | | $3.61 | $46.80 | $68.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.61 / $5.78
| Professional | | $3.30 | $3.61 | $5.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.94 / $7.26
| Facility | | $4.40 | $5.94 | $7.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.50 / $5.94
| Professional | | $4.40 | $5.50 | $5.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $10.48 / $13.20
| Facility | | $3.58 | $10.48 | $13.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $6.71 / $29.38
| Professional | | $2.54 | $6.71 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.45 / $21.01 / $98.57
| Facility | | $17.45 | $21.01 | $98.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $7.43 / $7.43
| Professional | | $7.43 | $7.43 | $7.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $2.64 / $2.64
| Facility | | $2.64 | $2.64 | $2.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.64 / $8.68
| Professional | | $1.85 | $2.64 | $8.68 |