- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $11.55 / $12.06
| Facility | | $5.09 | $11.55 | $12.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $5.09 / $25.92
| Professional | | $2.52 | $5.09 | $25.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $5.83
| Professional | | $5.83 | $5.83 | $5.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $80.00 / $80.00
| Facility | | $7.86 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $7.86 / $61.61
| Professional | | $5.92 | $7.86 | $61.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.35 / $5.40 / $5.40
| Facility | | $5.35 | $5.40 | $5.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $4.59 / $6.16
| Professional | | $4.59 | $4.59 | $6.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $9.50 / $16.23
| Facility | | $7.21 | $9.50 | $16.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $9.67 / $16.23
| Professional | | $7.21 | $9.67 | $16.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $6.88 / $7.56
| Professional | | $6.19 | $6.88 | $7.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $7.72 / $8.97
| Facility | | $7.11 | $7.72 | $8.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.62 / $8.52 / $8.97
| Professional | | $7.62 | $8.52 | $8.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.45 / $7.86 / $14.52
| Facility | | $7.45 | $7.86 | $14.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $8.50 / $13.69
| Professional | | $7.45 | $8.50 | $13.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $7.62 / $9.86
| Professional | | $7.13 | $7.62 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.00 / $7.26
| Professional | | $3.52 | $4.00 | $7.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $1.97 / $3.44
| Professional | | $1.97 | $1.97 | $3.44 |