- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $12.48 / $83.83
| Facility | | $3.80 | $12.48 | $83.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.24 / $10.48
| Professional | | $3.32 | $4.24 | $10.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $2.85 / $7.36
| Professional | | $2.85 | $2.85 | $7.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.19 / $5.23 / $8.41
| Facility | | $4.19 | $5.23 | $8.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $2.34 / $4.75
| Professional | | $0.82 | $2.34 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Professional | | $3.80 | $3.80 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $4.99 / $6.41
| Facility | | $3.62 | $4.99 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.86 / $7.83
| Professional | | $3.09 | $4.86 | $7.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.60 / $4.88 / $10.70
| Facility | | $2.60 | $4.88 | $10.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.81 / $7.23
| Professional | | $2.48 | $3.81 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.60 / $4.88 / $27.13
| Facility | | $2.60 | $4.88 | $27.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.12 / $6.38
| Professional | | $2.48 | $3.12 | $6.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $3.91 / $5.69
| Professional | | $3.56 | $3.91 | $5.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.08 / $2.68 / $6.64
| Professional | | $1.08 | $2.68 | $6.64 |