- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.71 / $6.15 / $6.42
| Facility | | $2.71 | $6.15 | $6.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.71 / $6.48
| Professional | | $2.04 | $2.71 | $6.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $3.10 / $3.10
| Professional | | $3.10 | $3.10 | $3.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.18 / $80.00 / $80.00
| Facility | | $4.18 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $4.22 / $26.50
| Professional | | $3.44 | $4.22 | $26.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.86 / $2.86 / $3.03
| Facility | | $2.86 | $2.86 | $3.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.43 / $3.37
| Professional | | $2.43 | $2.43 | $3.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $4.76 / $7.92
| Facility | | $2.73 | $4.76 | $7.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $4.79 / $8.27
| Professional | | $2.79 | $4.79 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $3.66 / $4.02
| Professional | | $3.29 | $3.66 | $4.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $4.66 / $4.76
| Facility | | $4.26 | $4.66 | $4.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $4.76 / $5.25
| Professional | | $4.17 | $4.76 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $4.18 / $7.73
| Facility | | $3.96 | $4.18 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $4.51 / $6.86
| Professional | | $3.96 | $4.51 | $6.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $4.05 / $5.25
| Professional | | $3.79 | $4.05 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $2.02 / $3.86
| Professional | | $1.87 | $2.02 | $3.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.34 / $2.38
| Professional | | $2.34 | $2.34 | $2.38 |