- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $7.94 / $29.51
| Facility | | $4.07 | $7.94 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.68 / $12.59
| Professional | | $3.02 | $4.68 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $6.46 / $7.76
| Facility | | $3.80 | $6.46 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $4.27 / $9.33
| Professional | | $2.34 | $4.27 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $3.63 / $3.63
| Facility | | $3.63 | $3.63 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $11.48 / $17.78
| Facility | | $5.75 | $11.48 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $7.08 / $8.71
| Professional | | $2.69 | $7.08 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.32 / $15.49
| Professional | | $6.46 | $8.32 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $5.25 / $5.89
| Facility | | $2.63 | $5.25 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.55 / $9.33
| Professional | | $2.45 | $3.55 | $9.33 |