- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $22.43 / $81.16
| Facility | | $2.25 | $22.43 | $81.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.96 / $2.25
| Professional | | $1.85 | $1.96 | $2.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $1.12 / $2.25
| Professional | | $1.12 | $1.12 | $2.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $2.25 / $6.75
| Facility | | $1.78 | $2.25 | $6.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $1.66 / $2.19
| Professional | | $1.32 | $1.66 | $2.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $2.48 / $3.15
| Facility | | $2.25 | $2.48 | $3.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $2.36 / $3.04
| Professional | | $1.46 | $2.36 | $3.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.64 / $2.25 / $7.51
| Facility | | $1.64 | $2.25 | $7.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.48 / $5.34
| Professional | | $1.48 | $2.48 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $2.25 / $3.28
| Professional | | $1.14 | $2.25 | $3.28 |