- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.79 / $5.24 / $9.35
| Facility | | $2.79 | $5.24 | $9.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.25 / $3.28
| Professional | | $1.86 | $2.25 | $3.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $3.28 / $8.52
| Facility | | $3.28 | $3.28 | $8.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.21 / $1.69 / $5.56
| Professional | | $1.21 | $1.69 | $5.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.97 / $3.28 / $3.28
| Facility | | $1.97 | $3.28 | $3.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $3.28 / $3.28
| Professional | | $2.39 | $3.28 | $3.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $6.36 / $26.92
| Facility | | $2.29 | $6.36 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $3.29 / $15.81
| Professional | | $1.93 | $3.29 | $15.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $4.26 / $332.00
| Facility | | $1.50 | $4.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.31 / $1.97 / $6.00
| Professional | | $1.31 | $1.97 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.59 / $3.44
| Professional | | $1.74 | $2.59 | $3.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $7.66 / $35.38
| Facility | | $3.81 | $7.66 | $35.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $3.72 / $5.47
| Professional | | $1.98 | $3.72 | $5.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.97 / $5.08
| Professional | | $1.38 | $1.97 | $5.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.77 / $3.77 / $7.19
| Facility | | $3.77 | $3.77 | $7.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.59 / $3.94
| Professional | | $1.74 | $2.59 | $3.94 |