- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.88 / $4.26 / $4.46
| Facility | | $1.88 | $4.26 | $4.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.88 / $4.50
| Professional | | $1.42 | $1.88 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.90 / $80.00 / $80.00
| Facility | | $2.90 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $2.90 / $19.44
| Professional | | $2.39 | $2.90 | $19.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.99 / $1.99 / $2.11
| Facility | | $1.99 | $1.99 | $2.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $2.27
| Professional | | $1.69 | $1.69 | $2.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $3.31 / $5.51
| Facility | | $1.86 | $3.31 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $3.31 / $5.79
| Professional | | $1.86 | $3.31 | $5.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.28 / $2.54 / $2.79
| Professional | | $2.28 | $2.54 | $2.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $3.16 / $3.31
| Facility | | $2.96 | $3.16 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.31 / $3.31
| Professional | | $2.98 | $3.31 | $3.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $2.90 / $6.62
| Facility | | $2.75 | $2.90 | $6.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.99 / $4.76
| Professional | | $2.75 | $2.99 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $3.23 / $3.23
| Facility | | $3.15 | $3.23 | $3.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $2.81 / $3.64
| Professional | | $2.63 | $2.81 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.51 / $2.68
| Professional | | $1.30 | $1.51 | $2.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $4.45 / $4.45
| Professional | | $1.41 | $4.45 | $4.45 |