- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.64 / $3.72 / $3.89
| Facility | | $1.64 | $3.72 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.95 / $1.64 / $3.91
| Professional | | $0.95 | $1.64 | $3.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $2.02 / $2.02
| Professional | | $1.87 | $2.02 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $80.00 / $80.00
| Facility | | $2.45 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.54 / $17.67
| Professional | | $2.21 | $2.54 | $17.67 |
- 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 / $2.40
| Professional | | $1.73 | $1.73 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $3.07 / $5.51
| Facility | | $1.82 | $3.07 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $3.19 / $5.65
| Professional | | $1.86 | $3.19 | $5.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.21 / $2.43
| Professional | | $1.98 | $2.21 | $2.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.58 / $2.81 / $2.88
| Facility | | $2.58 | $2.81 | $2.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.88 / $2.88
| Professional | | $2.52 | $2.88 | $2.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.39 / $2.52 / $4.66
| Facility | | $2.39 | $2.52 | $4.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $2.61 / $4.15
| Professional | | $2.39 | $2.61 | $4.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.45 / $3.17
| Professional | | $2.29 | $2.45 | $3.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.44 / $2.75
| Professional | | $1.33 | $1.44 | $2.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $1.97 / $1.97
| Professional | | $1.72 | $1.97 | $1.97 |