- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $2.20 / $17.18
| Facility | | $1.98 | $2.20 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $2.23 / $2.97
| Professional | | $1.64 | $2.23 | $2.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $2.15 / $3.39
| Professional | | $1.83 | $2.15 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $3.58 / $9.42
| Facility | | $2.16 | $3.58 | $9.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.81 / $1.81
| Professional | | $1.62 | $1.81 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.71 / $4.19
| Professional | | $2.09 | $2.71 | $4.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $3.47 / $3.47
| Facility | | $3.39 | $3.47 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.80 / $2.04 / $2.04
| Facility | | $1.80 | $2.04 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $2.04
| Professional | | $1.73 | $1.73 | $2.04 |
- 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
- $17.67 / $18.38 / $25.43
| Professional | | $17.67 | $18.38 | $25.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.93 / $2.49 / $3.39
| Facility | | $0.93 | $2.49 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $2.88 / $3.39
| Professional | | $1.14 | $2.88 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.93 / $2.42 / $3.39
| Facility | | $0.93 | $2.42 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $2.40
| Professional | | $1.73 | $1.73 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.56 / $2.06
| Professional | | $1.20 | $1.56 | $2.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $1.75 / $3.39
| Professional | | $1.72 | $1.75 | $3.39 |