- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $4.07 / $320.02
| Facility | | $3.15 | $4.07 | $320.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.49 / $4.26 / $5.66
| Professional | | $3.49 | $4.26 | $5.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $3.97 / $3.97
| Professional | | $3.97 | $3.97 | $3.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $3.48 / $4.36
| Facility | | $3.48 | $3.48 | $4.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $3.48 / $4.26
| Professional | | $2.73 | $3.48 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.12 / $4.97
| Facility | | $4.01 | $4.12 | $4.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $4.33 / $7.56
| Professional | | $3.00 | $4.33 | $7.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.70 / $21.28 / $21.28
| Facility | | $19.70 | $21.28 | $21.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.72 / $30.33 / $39.75
| Professional | | $25.72 | $30.33 | $39.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $4.40 / $5.71
| Facility | | $3.62 | $4.40 | $5.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.31 / $8.73
| Professional | | $4.84 | $6.31 | $8.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.76 / $7.17
| Professional | | $3.52 | $4.76 | $7.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $4.40 / $5.69
| Facility | | $3.58 | $4.40 | $5.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $4.51 / $9.05
| Professional | | $3.00 | $4.51 | $9.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.59 / $7.97
| Professional | | $3.52 | $4.59 | $7.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.88 / $6.69
| Professional | | $4.13 | $4.88 | $6.69 |