- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.03 / $7.09 / $9.50
| Facility | | $4.03 | $7.09 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.81 / $4.96
| Professional | | $2.27 | $3.81 | $4.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.92 / $4.30 / $5.39
| Facility | | $1.92 | $4.30 | $5.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.60 / $3.31
| Professional | | $2.11 | $2.60 | $3.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $5.04 / $15.60
| Facility | | $2.80 | $5.04 | $15.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.96 / $6.20
| Professional | | $3.24 | $4.96 | $6.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $4.30 / $4.53
| Professional | | $0.05 | $4.30 | $4.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.47
| Professional | | $1.47 | $1.47 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.50 / $5.27
| Professional | | $1.81 | $2.50 | $5.27 |