- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.68 / $3.53 / $6.18
| Facility | | $1.68 | $3.53 | $6.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.17 / $3.80
| Professional | | $1.61 | $2.17 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $5.64
| Facility | | $2.17 | $2.17 | $5.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.31 / $4.61
| Professional | | $1.07 | $1.31 | $4.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.30 / $2.17 / $2.17
| Facility | | $1.30 | $2.17 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.17 / $2.17
| Professional | | $1.58 | $2.17 | $2.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $4.24 / $21.88
| Facility | | $1.52 | $4.24 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $2.48 / $13.53
| Professional | | $1.52 | $2.48 | $13.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $2.82 / $332.00
| Facility | | $1.00 | $2.82 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.30 / $3.97
| Professional | | $0.87 | $1.30 | $3.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $2.08 / $2.44
| Professional | | $1.62 | $2.08 | $2.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $5.11 / $27.53
| Facility | | $2.56 | $5.11 | $27.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.98 / $4.47
| Professional | | $1.74 | $2.98 | $4.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.45 / $3.26
| Professional | | $1.10 | $1.45 | $3.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $2.50 / $6.64
| Facility | | $2.50 | $2.50 | $6.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $2.17 / $2.61
| Professional | | $1.62 | $2.17 | $2.61 |