- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $7.57 / $13.66
| Facility | | $2.87 | $7.57 | $13.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $3.75 / $6.46
| Professional | | $2.87 | $3.75 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $2.59 / $2.59
| Professional | | $2.59 | $2.59 | $2.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.11 / $5.51 / $14.91
| Facility | | $3.11 | $5.51 | $14.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.11 / $8.46
| Professional | | $1.58 | $2.11 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $4.30 / $6.90
| Facility | | $3.28 | $4.30 | $6.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.19 / $9.48 / $13.58
| Facility | | $4.19 | $9.48 | $13.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $5.37 / $6.71
| Professional | | $2.80 | $5.37 | $6.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.71 / $5.60 / $15.32
| Professional | | $4.71 | $5.60 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.12 / $8.88
| Professional | | $2.50 | $3.12 | $8.88 |