- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $15.28 / $20.39
| Facility | | $7.88 | $15.28 | $20.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.84 / $8.57
| Professional | | $3.43 | $5.84 | $8.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $11.56 / $17.23
| Facility | | $9.78 | $11.56 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $10.76 / $10.76
| Professional | | $10.76 | $10.76 | $10.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $8.33 / $36.47
| Facility | | $4.26 | $8.33 | $36.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $6.82 / $9.10
| Professional | | $3.40 | $6.82 | $9.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.67 / $12.62
| Facility | | $6.47 | $6.67 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.76 / $13.20
| Professional | | $2.72 | $4.76 | $13.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $6.47 / $9.71
| Facility | | $2.33 | $6.47 | $9.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.88 / $13.46
| Professional | | $2.72 | $3.88 | $13.46 |