- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $9.92 / $17.86
| Facility | | $4.51 | $9.92 | $17.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $3.23 / $11.34
| Professional | | $2.77 | $3.23 | $11.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $7.83 / $9.78
| Professional | | $4.96 | $7.83 | $9.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $7.35 / $24.67
| Professional | | $4.20 | $7.35 | $24.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $7.06 / $20.64
| Facility | | $4.20 | $7.06 | $20.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $4.33 / $11.08
| Professional | | $2.52 | $4.33 | $11.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $8.57 / $13.17
| Facility | | $5.15 | $8.57 | $13.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $8.57 / $11.08
| Professional | | $5.05 | $8.57 | $11.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.43 / $10.18
| Professional | | $2.52 | $3.43 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.20 / $4.20
| Professional | | $3.32 | $4.20 | $4.20 |