- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.02 / $2.06 / $2.85
| Facility | | $2.02 | $2.06 | $2.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $2.06 / $2.72
| Professional | | $1.69 | $2.06 | $2.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $85.00 / $298.00
| Facility | | $50.00 | $85.00 | $298.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.52 / $4.05
| Professional | | $1.79 | $2.52 | $4.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $2.76 / $2.76
| Facility | | $2.76 | $2.76 | $2.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $2.76 / $2.76
| Professional | | $2.76 | $2.76 | $2.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.61 / $2.61 / $2.61
| Facility | | $2.61 | $2.61 | $2.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.00 / $5.09
| Professional | | $2.00 | $3.00 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $2.19 / $319.00
| Facility | | $2.19 | $2.19 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $3.78 / $89.00
| Professional | | $2.82 | $3.78 | $89.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $2.08 / $2.39
| Facility | | $1.12 | $2.08 | $2.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.76 / $4.72
| Professional | | $1.55 | $2.76 | $4.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.61 / $2.61 / $555.00
| Facility | | $2.61 | $2.61 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.00 / $5.44
| Professional | | $2.00 | $3.00 | $5.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $2.37 / $2.93
| Professional | | $1.77 | $2.37 | $2.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.47 / $60.16 / $71.00
| Facility | | $52.47 | $60.16 | $71.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.52 / $5.25
| Professional | | $1.84 | $2.52 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $2.08 / $2.67
| Facility | | $1.12 | $2.08 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.82 / $5.65
| Professional | | $2.08 | $2.82 | $5.65 |