- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.64 / $1.86 / $2.19
| Facility | | $1.64 | $1.86 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $2.04 / $2.57
| Professional | | $1.64 | $2.04 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.08 / $5.00
| Professional | | $2.00 | $3.08 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.92 / $2.21 / $3.70
| Facility | | $1.92 | $2.21 | $3.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.94 / $13.20
| Professional | | $1.97 | $2.94 | $13.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.91 / $4.13 / $5.17
| Facility | | $3.91 | $4.13 | $5.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $4.13 / $4.53
| Professional | | $3.56 | $4.13 | $4.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.84 / $4.44
| Professional | | $2.50 | $2.84 | $4.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $2.37 / $4.07
| Professional | | $1.72 | $2.37 | $4.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.50 / $4.70
| Professional | | $3.80 | $4.50 | $4.70 |