- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $6.93 / $39.03
| Facility | | $2.31 | $6.93 | $39.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $7.09 / $8.07
| Professional | | $5.88 | $7.09 | $8.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $7.89 / $9.22
| Facility | | $5.46 | $7.89 | $9.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $4.94 / $11.40
| Professional | | $4.05 | $4.94 | $11.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.65 / $12.28 / $14.47
| Facility | | $9.65 | $12.28 | $14.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.38 / $12.28 / $17.54
| Professional | | $9.38 | $12.28 | $17.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.70 / $11.33 / $15.64
| Facility | | $5.70 | $11.33 | $15.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.11 / $7.85 / $19.55
| Professional | | $4.11 | $7.85 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $9.65 / $12.28
| Professional | | $8.77 | $9.65 | $12.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $5.58 / $10.32
| Professional | | $3.68 | $5.58 | $10.32 |