- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $2.50 / $2.72
| Facility | | $2.04 | $2.50 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.13 / $2.75
| Professional | | $1.70 | $2.13 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.61 / $2.61 / $2.61
| Facility | | $2.61 | $2.61 | $2.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.58 / $5.76
| Professional | | $2.00 | $3.58 | $5.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $4.38 / $5.74
| Professional | | $3.20 | $4.38 | $5.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.12 / $2.72 / $4.53
| Facility | | $2.12 | $2.72 | $4.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.96 / $7.11
| Professional | | $2.52 | $3.96 | $7.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $4.01 / $4.69
| Facility | | $2.81 | $4.01 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.12 / $2.72 / $5.81
| Facility | | $2.12 | $2.72 | $5.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.58 / $5.73
| Professional | | $2.00 | $3.58 | $5.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $4.28 / $5.92
| Professional | | $2.77 | $4.28 | $5.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.55 / $6.10
| Professional | | $2.37 | $3.55 | $6.10 |