- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $37.25 / $45.58
| Facility | | $17.16 | $37.25 | $45.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.43 / $12.48
| Professional | | $2.43 | $2.43 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.80 / $12.14 / $31.42
| Facility | | $8.80 | $12.14 | $31.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.20 / $5.90
| Professional | | $1.20 | $1.20 | $5.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.94 / $2.94 / $6.40
| Facility | | $2.94 | $2.94 | $6.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $3.00 / $11.72
| Professional | | $1.58 | $3.00 | $11.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $9.09 / $11.01
| Professional | | $9.09 | $9.09 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.00 / $37.25 / $60.20
| Facility | | $17.00 | $37.25 | $60.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.46 / $12.48
| Professional | | $2.43 | $2.46 | $12.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $1.80 / $5.30
| Professional | | $1.80 | $1.80 | $5.30 |