- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $5.62 / $30.20
| Facility | | $2.40 | $5.62 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.19 / $5.62
| Professional | | $2.00 | $2.19 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $1.78
| Professional | | $1.78 | $1.78 | $1.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $2.69 / $4.68
| Facility | | $2.34 | $2.69 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $1.51 / $3.24
| Professional | | $1.26 | $1.51 | $3.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $2.69 / $3.16
| Facility | | $1.70 | $2.69 | $3.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.51 / $3.47
| Professional | | $1.66 | $2.51 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.66 / $1.66 / $5.37
| Facility | | $1.66 | $1.66 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $2.04 / $4.37
| Professional | | $1.32 | $2.04 | $4.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.66 / $2.75 / $9.12
| Facility | | $1.66 | $2.75 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.04 / $4.27
| Professional | | $1.58 | $2.04 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.09 / $3.16
| Professional | | $1.70 | $2.09 | $3.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $3.02
| Facility | | $3.02 | $3.02 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.69 / $5.89
| Professional | | $1.66 | $2.69 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.91 / $1.74 / $2.51
| Facility | | $0.91 | $1.74 | $2.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.51 / $3.02
| Professional | | $1.07 | $1.51 | $3.02 |