- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.43 / $3.25 / $3.39
| Facility | | $1.43 | $3.25 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $1.43 / $3.15
| Professional | | $0.71 | $1.43 | $3.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $1.64
| Professional | | $1.64 | $1.64 | $1.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.22 / $80.00 / $80.00
| Facility | | $2.22 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.15 / $12.52
| Professional | | $1.66 | $2.15 | $12.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $1.52 / $1.52
| Facility | | $1.50 | $1.52 | $1.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $1.29 / $1.74
| Professional | | $1.29 | $1.29 | $1.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.12 / $2.68 / $4.54
| Facility | | $2.12 | $2.68 | $4.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $2.91 / $4.72
| Professional | | $2.12 | $2.91 | $4.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.95 / $2.14
| Professional | | $1.75 | $1.95 | $2.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.15 / $2.52
| Facility | | $2.00 | $2.15 | $2.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.27 / $2.52
| Professional | | $2.02 | $2.27 | $2.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $2.22 / $4.09
| Facility | | $2.10 | $2.22 | $4.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.29 / $3.64
| Professional | | $2.10 | $2.29 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.15 / $2.78
| Professional | | $2.02 | $2.15 | $2.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.08 / $2.04
| Professional | | $1.00 | $1.08 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.02 / $1.72 / $1.72
| Professional | | $1.02 | $1.72 | $1.72 |