- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $1.48 / $1.70
| Facility | | $0.98 | $1.48 | $1.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $1.70 / $2.47
| Professional | | $0.81 | $1.70 | $2.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $2.77 / $2.88
| Professional | | $2.77 | $2.77 | $2.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.84 / $1.84
| Professional | | $1.39 | $1.84 | $1.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $4.03 / $4.75
| Facility | | $2.16 | $4.03 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $3.60 / $4.75
| Professional | | $2.79 | $3.60 | $4.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $3.37
| Facility | | $1.73 | $1.73 | $3.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.78 / $13.93
| Professional | | $1.47 | $1.78 | $13.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.36 / $1.66 / $3.74
| Professional | | $1.36 | $1.66 | $3.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $1.43 / $2.22
| Professional | | $0.96 | $1.43 | $2.22 |