- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $3.64 / $11.13
| Facility | | $3.35 | $3.64 | $11.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $3.81 / $5.04
| Professional | | $3.42 | $3.81 | $5.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $2.57
| Professional | | $2.57 | $2.57 | $2.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.07 / $15.85 / $15.85
| Facility | | $9.07 | $15.85 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $3.46 / $3.84
| Professional | | $3.20 | $3.46 | $3.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $4.51 / $11.57
| Facility | | $2.92 | $4.51 | $11.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $3.11 / $6.20
| Professional | | $2.66 | $3.11 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.42 / $3.87 / $7.46
| Facility | | $3.42 | $3.87 | $7.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.46 / $7.00
| Professional | | $5.19 | $5.46 | $7.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $5.61 / $7.33
| Facility | | $3.58 | $5.61 | $7.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.66 / $5.33
| Professional | | $2.14 | $2.66 | $5.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $70.00 / $70.00
| Facility | | $12.68 | $70.00 | $70.00 |