- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $2.29 / $2.63
| Facility | | $1.00 | $2.29 | $2.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.00 / $2.51
| Professional | | $1.00 | $2.00 | $2.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $2.19 / $2.19
| Facility | | $2.19 | $2.19 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $2.75 / $6.46
| Professional | | $1.82 | $2.75 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.24 / $10.72
| Facility | | $5.37 | $7.24 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $3.09 / $7.08
| Professional | | $1.00 | $3.09 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $2.40 / $3.39
| Facility | | $1.95 | $2.40 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.80 / $5.37
| Professional | | $2.69 | $3.80 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $2.40 / $3.63
| Facility | | $1.95 | $2.40 | $3.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $3.09 / $13.18
| Professional | | $1.91 | $3.09 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.98 / $6.61
| Professional | | $2.57 | $3.98 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $75.86
| Facility | | $4.90 | $4.90 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $4.17 / $13.18
| Professional | | $1.00 | $4.17 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $5.37 / $10.96
| Professional | | $1.95 | $5.37 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.00 / $2.34
| Facility | | $2.00 | $2.00 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.82 / $6.03
| Professional | | $1.91 | $2.82 | $6.03 |