- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $13.62 / $21.41
| Facility | | $6.48 | $13.62 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $5.12 / $6.29
| Professional | | $2.93 | $5.12 | $6.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.02 / $14.59 / $21.62
| Facility | | $13.02 | $14.59 | $21.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $10.61 / $10.61
| Professional | | $10.61 | $10.61 | $10.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $6.19 / $24.81
| Facility | | $2.98 | $6.19 | $24.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $8.26 / $17.00
| Professional | | $2.72 | $8.26 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $4.29 / $30.09
| Facility | | $4.29 | $4.29 | $30.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.53 / $10.52
| Professional | | $2.47 | $3.53 | $10.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.12 / $5.88 / $8.82
| Facility | | $2.12 | $5.88 | $8.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.53 / $10.52
| Professional | | $2.47 | $3.53 | $10.52 |