- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $12.07 / $35.26
| Facility | | $4.80 | $12.07 | $35.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $5.60 / $6.47
| Professional | | $3.88 | $5.60 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.88 / $4.49
| Professional | | $3.11 | $3.88 | $4.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.98 / $21.35 / $38.76
| Facility | | $7.98 | $21.35 | $38.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.00 / $6.21
| Professional | | $3.43 | $5.00 | $6.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.47 / $9.71
| Professional | | $4.53 | $6.47 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $6.47
| Facility | | $6.08 | $6.08 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $14.15 / $29.40
| Facility | | $4.51 | $14.15 | $29.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $6.59 / $10.94
| Professional | | $3.43 | $6.59 | $10.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.00 / $70.00 / $80.00
| Facility | | $70.00 | $70.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $8.14
| Facility | | $5.18 | $6.47 | $8.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.47 / $8.43
| Professional | | $5.82 | $6.47 | $8.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $6.47 / $16.13
| Facility | | $5.19 | $6.47 | $16.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $6.47 / $9.35
| Professional | | $3.43 | $6.47 | $9.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.70 / $5.29
| Professional | | $2.72 | $3.70 | $5.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.19 / $6.47
| Professional | | $2.52 | $3.19 | $6.47 |