- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $8.05 / $23.23
| Facility | | $3.20 | $8.05 | $23.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.19 / $5.17
| Professional | | $2.58 | $3.19 | $5.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $14.22 / $25.95
| Facility | | $5.34 | $14.22 | $25.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $4.30 / $5.50
| Professional | | $2.27 | $4.30 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $6.47 / $9.69
| Facility | | $4.09 | $6.47 | $9.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $4.30 / $4.96
| Facility | | $4.30 | $4.30 | $4.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $9.41 / $19.64
| Facility | | $3.01 | $9.41 | $19.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.12 / $7.11
| Professional | | $2.27 | $3.12 | $7.11 |
- 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
- $3.28 / $4.30 / $5.60
| Facility | | $3.28 | $4.30 | $5.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $4.30 / $5.32
| Professional | | $3.97 | $4.30 | $5.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.45 / $4.30 / $10.72
| Facility | | $3.45 | $4.30 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.31 / $6.16
| Professional | | $2.27 | $3.31 | $6.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $4.30 / $7.09
| Facility | | $2.59 | $4.30 | $7.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.47 / $3.51
| Professional | | $1.81 | $2.47 | $3.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $2.13 / $4.30
| Professional | | $1.68 | $2.13 | $4.30 |