- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.02 / $2.31 / $2.42
| Facility | | $1.02 | $2.31 | $2.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.77 / $1.02 / $2.45
| Professional | | $0.77 | $1.02 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $1.17
| Professional | | $1.17 | $1.17 | $1.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $80.00 / $80.00
| Facility | | $1.58 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.59 / $8.96
| Professional | | $1.28 | $1.59 | $8.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $1.09 / $1.09
| Facility | | $1.09 | $1.09 | $1.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.93 / $0.93 / $1.28
| Professional | | $0.93 | $0.93 | $1.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.91 / $1.71 / $2.64
| Facility | | $0.91 | $1.71 | $2.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.93 / $1.71 / $3.03
| Professional | | $0.93 | $1.71 | $3.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.39 / $1.52
| Professional | | $1.25 | $1.39 | $1.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $1.76 / $1.80
| Facility | | $1.62 | $1.76 | $1.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.80 / $1.80
| Professional | | $1.62 | $1.80 | $1.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $1.58 / $2.92
| Facility | | $1.50 | $1.58 | $2.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $1.71 / $2.60
| Professional | | $1.50 | $1.71 | $2.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $1.53 / $1.98
| Professional | | $1.44 | $1.53 | $1.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $0.77 / $1.46
| Professional | | $0.71 | $0.77 | $1.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $0.91 / $0.91
| Professional | | $0.91 | $0.91 | $0.91 |