- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $8.33 / $8.69
| Facility | | $3.67 | $8.33 | $8.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $3.67 / $8.77
| Professional | | $2.78 | $3.67 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $80.00 / $80.00
| Facility | | $5.66 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.71 / $32.17
| Professional | | $4.51 | $5.71 | $32.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.88 / $3.88 / $3.88
| Facility | | $3.88 | $3.88 | $3.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.30 / $4.80
| Professional | | $3.30 | $3.30 | $4.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $6.46 / $11.03
| Facility | | $3.64 | $6.46 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.46 / $11.58
| Professional | | $3.72 | $6.46 | $11.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.95 / $5.44
| Professional | | $4.45 | $4.95 | $5.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.79 / $6.31 / $6.46
| Facility | | $5.79 | $6.31 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $6.46 / $6.46
| Professional | | $5.64 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $5.66 / $10.46
| Facility | | $5.36 | $5.66 | $10.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $6.12 / $9.28
| Professional | | $5.36 | $6.12 | $9.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.49 / $7.11
| Professional | | $5.13 | $5.49 | $7.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.74 / $5.23
| Professional | | $2.52 | $2.74 | $5.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.78 / $3.78
| Professional | | $3.23 | $3.78 | $3.78 |