- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.36 / $2.50 / $2.97
| Facility | | $1.36 | $2.50 | $2.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.36 / $2.31 / $2.97
| Professional | | $1.36 | $2.31 | $2.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $1.65 / $4.42
| Professional | | $1.65 | $1.65 | $4.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.44 / $2.62 / $2.62
| Facility | | $2.44 | $2.62 | $2.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $2.62 / $2.62
| Professional | | $2.62 | $2.62 | $2.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $1.89 / $1.89
| Facility | | $1.89 | $1.89 | $1.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.61 / $2.33
| Professional | | $1.61 | $1.61 | $2.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $7.07 / $332.00
| Facility | | $3.14 | $7.07 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.64 / $5.75
| Professional | | $1.85 | $2.64 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $3.26
| Facility | | $3.26 | $3.26 | $3.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $2.10 / $3.26
| Professional | | $1.96 | $2.10 | $3.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $1.89 / $555.00
| Facility | | $1.89 | $1.89 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.89 / $4.68
| Professional | | $1.61 | $1.89 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.04 / $1.94 / $3.18
| Professional | | $1.04 | $1.94 | $3.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $1.98 / $3.06
| Facility | | $1.96 | $1.98 | $3.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $1.98 / $3.26
| Professional | | $1.96 | $1.98 | $3.26 |