- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.91 / $8.47 / $76.30
| Facility | | $3.91 | $8.47 | $76.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $4.70 / $12.42
| Professional | | $3.53 | $4.70 | $12.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.90 / $6.41 / $20.34
| Facility | | $3.90 | $6.41 | $20.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $2.35 / $9.39
| Professional | | $1.76 | $2.35 | $9.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $5.88 / $9.41
| Facility | | $3.66 | $5.88 | $9.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.35 / $12.94 / $17.78
| Facility | | $5.35 | $12.94 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $7.02 / $8.77
| Professional | | $2.68 | $7.02 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $7.64 / $15.51
| Professional | | $6.43 | $7.64 | $15.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.29 / $5.29 / $5.88
| Facility | | $5.29 | $5.29 | $5.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.56 / $9.14
| Professional | | $2.52 | $3.56 | $9.14 |