- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $7.64 / $73.73
| Facility | | $2.87 | $7.64 | $73.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $6.52 / $13.88
| Professional | | $3.34 | $6.52 | $13.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $2.29
| Professional | | $2.29 | $2.29 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $9.46 / $13.72
| Facility | | $7.04 | $9.46 | $13.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $3.83
| Professional | | $3.64 | $3.64 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.49 / $2.67 / $6.24
| Facility | | $2.49 | $2.67 | $6.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $3.98 / $5.68
| Professional | | $1.73 | $3.98 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $3.48 / $85.54
| Facility | | $3.48 | $3.48 | $85.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.18 / $4.79
| Professional | | $1.61 | $2.18 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.92 / $2.49
| Professional | | $1.61 | $1.92 | $2.49 |