- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.45 / $7.83 / $8.18
| Facility | | $3.45 | $7.83 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $3.45 / $8.27
| Professional | | $2.62 | $3.45 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $4.26 / $4.26
| Professional | | $3.50 | $4.26 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $80.00 / $80.00
| Facility | | $5.34 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.38 / $30.33
| Professional | | $4.40 | $5.38 | $30.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $3.66 / $3.88
| Facility | | $3.66 | $3.66 | $3.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $4.30
| Professional | | $3.11 | $3.11 | $4.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $6.21 / $11.03
| Facility | | $3.64 | $6.21 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.36 / $11.24
| Professional | | $3.72 | $6.36 | $11.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $4.68 / $5.14
| Professional | | $4.21 | $4.68 | $5.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $5.95 / $6.09
| Facility | | $5.48 | $5.95 | $6.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $6.09 / $6.09
| Professional | | $5.48 | $6.09 | $6.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.34 / $9.86
| Facility | | $5.05 | $5.34 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.77 / $8.76
| Professional | | $5.05 | $5.77 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.18 / $6.70
| Professional | | $4.84 | $5.18 | $6.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.35 / $2.39 / $2.78
| Facility | | $2.35 | $2.39 | $2.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $2.79 / $4.93
| Professional | | $2.39 | $2.79 | $4.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $3.56 / $3.56
| Professional | | $3.05 | $3.56 | $3.56 |