- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1.32 / $1.43
| Facility | | $1.00 | $1.32 | $1.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.32 / $1.76
| Professional | | $0.87 | $1.32 | $1.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $0.96 / $0.96
| Professional | | $0.96 | $0.96 | $0.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.35 / $2.35 / $2.35
| Facility | | $2.35 | $2.35 | $2.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $0.82
| Professional | | $0.82 | $0.82 | $0.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.08 / $80.00 / $85.00
| Facility | | $4.08 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.01 / $10.01 / $285.45
| Professional | | $10.01 | $10.01 | $285.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.30 / $2.00 / $3.51
| Facility | | $1.30 | $2.00 | $3.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $1.91 / $2.00
| Professional | | $1.53 | $1.91 | $2.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.90 / $4.00
| Professional | | $2.50 | $2.90 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $2.00 / $3.51
| Facility | | $1.32 | $2.00 | $3.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $1.67
| Professional | | $0.82 | $0.82 | $1.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $0.93 / $1.28
| Professional | | $0.71 | $0.93 | $1.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.83 / $2.00 / $2.71
| Professional | | $0.83 | $2.00 | $2.71 |