- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.92 / $3.36 / $3.86
| Facility | | $1.92 | $3.36 | $3.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $3.98 / $5.60
| Professional | | $1.98 | $3.98 | $5.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.05 / $6.53
| Professional | | $3.89 | $5.05 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $5.81 / $23.06
| Professional | | $3.01 | $5.81 | $23.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $7.84 / $10.77
| Facility | | $6.53 | $7.84 | $10.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $8.16 / $10.45
| Professional | | $6.53 | $8.16 | $10.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $7.66
| Facility | | $3.93 | $3.93 | $7.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $4.05 / $31.52
| Professional | | $3.34 | $4.05 | $31.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $5.72 / $8.49
| Professional | | $4.69 | $5.72 | $8.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.01 / $4.30
| Professional | | $2.13 | $3.01 | $4.30 |