- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $20.42 / $72.44
| Facility | | $3.72 | $20.42 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $6.03
| Professional | | $3.02 | $3.98 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $16.98 / $28.18
| Facility | | $7.41 | $16.98 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.45 / $4.47
| Professional | | $2.45 | $2.45 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $3.80 / $15.49
| Facility | | $3.47 | $3.80 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.27 / $7.08
| Professional | | $2.88 | $4.27 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $43.65 / $43.65
| Professional | | $8.32 | $43.65 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $5.89
| Professional | | $5.89 | $5.89 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $3.16 / $3.24
| Facility | | $2.63 | $3.16 | $3.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.51 / $4.37
| Professional | | $2.45 | $2.51 | $4.37 |