- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $6.92 / $23.44
| Facility | | $5.37 | $6.92 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $8.91
| Professional | | $3.02 | $3.98 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.88 / $9.55
| Professional | | $2.14 | $2.88 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $9.12 / $14.45
| Facility | | $5.13 | $9.12 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.50 / $6.92
| Professional | | $4.17 | $5.50 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $39.81
| Facility | | $7.08 | $7.08 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $9.33 / $30.90
| Facility | | $3.24 | $9.33 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.39 / $7.24
| Professional | | $2.63 | $3.39 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $5.01 / $6.46
| Facility | | $2.45 | $5.01 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.02 / $7.08
| Professional | | $2.51 | $3.02 | $7.08 |