- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.84 / $7.57 / $13.54
| Facility | | $2.84 | $7.57 | $13.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $3.80 / $4.94
| Professional | | $2.84 | $3.80 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $2.56
| Professional | | $2.56 | $2.56 | $2.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $5.46 / $14.77
| Facility | | $3.08 | $5.46 | $14.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.11 / $8.38
| Professional | | $1.58 | $2.11 | $8.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $4.26 / $6.83
| Facility | | $3.26 | $4.26 | $6.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.19 / $9.39 / $13.58
| Facility | | $4.19 | $9.39 | $13.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $5.37 / $6.71
| Professional | | $2.60 | $5.37 | $6.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.55 / $15.32
| Professional | | $4.67 | $5.55 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $5.86 / $7.08
| Professional | | $2.56 | $5.86 | $7.08 |