- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.36 / $4.12 / $40.56
| Facility | | $3.36 | $4.12 | $40.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $3.80 / $3.93
| Professional | | $3.45 | $3.80 | $3.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $2.97 / $2.97
| Professional | | $2.97 | $2.97 | $2.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.30 / $8.99 / $13.07
| Facility | | $7.30 | $8.99 | $13.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.88 / $4.67
| Professional | | $3.23 | $3.88 | $4.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.94 / $4.51 / $11.57
| Facility | | $2.94 | $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
- $3.45 / $3.87 / $7.46
| Facility | | $3.45 | $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
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $2.67 / $5.19
| Professional | | $2.38 | $2.67 | $5.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $75.67 / $75.67
| Facility | | $12.68 | $75.67 | $75.67 |