- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $2.27 / $2.62
| Facility | | $1.60 | $2.27 | $2.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $2.54 / $3.82
| Professional | | $1.35 | $2.54 | $3.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $4.68
| Professional | | $4.12 | $4.12 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.22 / $2.42 / $2.54
| Professional | | $2.22 | $2.42 | $2.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.43 / $5.23 / $7.60
| Facility | | $4.43 | $5.23 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $5.54 / $7.09
| Professional | | $4.43 | $5.54 | $7.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $2.92 / $5.31
| Facility | | $2.92 | $2.92 | $5.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.01 / $22.27
| Professional | | $2.48 | $3.01 | $22.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.17 / $5.76
| Professional | | $2.59 | $3.17 | $5.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $2.21 / $3.41
| Professional | | $1.47 | $2.21 | $3.41 |