- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $2.15 / $2.44
| Facility | | $1.65 | $2.15 | $2.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $2.18 / $2.90
| Professional | | $1.62 | $2.18 | $2.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.04 / $2.04
| Professional | | $2.04 | $2.04 | $2.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $3.66 / $9.24
| Facility | | $1.98 | $3.66 | $9.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $1.58 / $1.77
| Professional | | $1.58 | $1.58 | $1.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $3.31
| Facility | | $3.31 | $3.31 | $3.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.99 / $1.99 / $2.31
| Facility | | $1.99 | $1.99 | $2.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $2.11
| Professional | | $1.69 | $1.69 | $2.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.44 / $20.21 / $21.08
| Professional | | $19.44 | $20.21 | $21.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.90 / $2.48 / $3.31
| Facility | | $0.90 | $2.48 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $2.98 / $3.31
| Professional | | $1.12 | $2.98 | $3.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.90 / $2.44 / $3.31
| Facility | | $0.90 | $2.44 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $2.59
| Professional | | $1.69 | $1.69 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.15 / $1.51 / $2.00
| Professional | | $1.15 | $1.51 | $2.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $3.31
| Professional | | $1.41 | $1.41 | $3.31 |