- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $3.30 / $3.61
| Facility | | $2.54 | $3.30 | $3.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.35 / $4.46
| Professional | | $2.47 | $3.35 | $4.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $3.57 / $5.09
| Professional | | $2.64 | $3.57 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $5.63 / $14.21
| Facility | | $3.26 | $5.63 | $14.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.72 / $2.72
| Professional | | $2.43 | $2.72 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.08 / $6.29
| Professional | | $3.14 | $4.08 | $6.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.46 / $4.46 / $5.09
| Facility | | $4.46 | $4.46 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $3.06 / $3.24
| Facility | | $2.80 | $3.06 | $3.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $2.60 / $3.24
| Professional | | $2.60 | $2.60 | $3.24 |
- 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
- $25.25 / $25.25 / $38.25
| Professional | | $25.25 | $25.25 | $38.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.40 / $3.79 / $5.09
| Facility | | $1.40 | $3.79 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $4.46 / $5.09
| Professional | | $1.72 | $4.46 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.40 / $3.65 / $5.09
| Facility | | $1.40 | $3.65 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $2.60 / $4.18
| Professional | | $2.60 | $2.60 | $4.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.35 / $3.10
| Professional | | $1.80 | $2.35 | $3.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $5.09
| Professional | | $2.56 | $2.56 | $5.09 |