- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $4.04 / $4.22
| Facility | | $1.78 | $4.04 | $4.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.00 / $4.26
| Professional | | $1.78 | $2.00 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $90.00 / $90.00
| Facility | | $2.75 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $2.81 / $15.64
| Professional | | $2.23 | $2.81 | $15.64 |
- 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
- $2.54 / $3.27 / $5.64
| Facility | | $2.54 | $3.27 | $5.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.56 / $5.79
| Professional | | $2.54 | $3.56 | $5.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.40 / $2.64
| Professional | | $2.16 | $2.40 | $2.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $3.14 / $4.75
| Facility | | $2.83 | $3.14 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.14 / $4.75
| Professional | | $2.74 | $3.14 | $4.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.61 / $2.75 / $5.09
| Facility | | $2.61 | $2.75 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $2.98 / $4.51
| Professional | | $2.61 | $2.98 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $2.67 / $3.45
| Professional | | $2.49 | $2.67 | $3.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $2.22 / $2.58
| Professional | | $1.27 | $2.22 | $2.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $3.28 / $3.28
| Professional | | $1.65 | $3.28 | $3.28 |