- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $6.57 / $11.34
| Facility | | $3.48 | $6.57 | $11.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.30 / $4.33
| Professional | | $2.72 | $3.30 | $4.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $3.98 / $10.35
| Facility | | $3.98 | $3.98 | $10.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $2.31 / $8.26
| Professional | | $1.75 | $2.31 | $8.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.39 / $3.98 / $3.98
| Facility | | $2.39 | $3.98 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $3.98 / $3.98
| Professional | | $2.91 | $3.98 | $3.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $8.42 / $39.32
| Facility | | $2.78 | $8.42 | $39.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $4.01 / $19.18
| Professional | | $2.81 | $4.01 | $19.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.40 / $332.00
| Facility | | $3.98 | $6.40 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.59 / $2.39 / $7.28
| Professional | | $1.59 | $2.39 | $7.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.98 / $4.84
| Professional | | $3.31 | $3.98 | $4.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $7.09
| Facility | | $7.09 | $7.09 | $7.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $9.36 / $51.08
| Facility | | $4.69 | $9.36 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.00 / $8.00
| Professional | | $2.94 | $5.00 | $8.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $2.39 / $5.97
| Professional | | $1.67 | $2.39 | $5.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $4.58 / $13.49
| Facility | | $4.58 | $4.58 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.30 / $4.93
| Professional | | $3.31 | $4.30 | $4.93 |