- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.79 / $2.52 / $4.30
| Facility | | $1.79 | $2.52 | $4.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $2.47 / $3.89
| Professional | | $1.76 | $2.47 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.91 / $7.18
| Professional | | $1.87 | $3.91 | $7.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $3.43 / $3.43
| Facility | | $3.19 | $3.43 | $3.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $3.43 / $3.43
| Professional | | $3.43 | $3.43 | $3.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $4.80 / $4.80
| Facility | | $4.80 | $4.80 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.10 / $2.10
| Professional | | $2.10 | $2.10 | $2.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $7.52 / $332.00
| Facility | | $4.11 | $7.52 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.11 / $5.56 / $8.92
| Professional | | $4.11 | $5.56 | $8.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.21 / $2.21 / $2.96
| Facility | | $2.21 | $2.21 | $2.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.96 / $2.96
| Professional | | $2.21 | $2.96 | $2.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $4.80 / $597.00
| Facility | | $4.80 | $4.80 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.10 / $7.05
| Professional | | $2.10 | $2.10 | $7.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $2.15 / $4.11
| Professional | | $1.37 | $2.15 | $4.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $2.96 / $3.37
| Facility | | $2.96 | $2.96 | $3.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.96 / $2.96
| Professional | | $2.21 | $2.96 | $2.96 |