- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $10.28 / $10.74
| Facility | | $4.53 | $10.28 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $4.53 / $10.85
| Professional | | $2.25 | $4.53 | $10.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $5.60 / $5.60
| Professional | | $4.62 | $5.60 | $5.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $80.00 / $80.00
| Facility | | $7.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.06 / $39.84
| Professional | | $5.75 | $7.06 | $39.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $4.80 / $5.09
| Facility | | $4.80 | $4.80 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $4.08 / $5.65
| Professional | | $4.08 | $4.08 | $5.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $8.00 / $13.39
| Facility | | $4.55 | $8.00 | $13.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $8.00 / $14.06
| Professional | | $4.65 | $8.00 | $14.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $6.14 / $6.75
| Professional | | $5.52 | $6.14 | $6.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $7.81 / $8.00
| Facility | | $7.19 | $7.81 | $8.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $8.00 / $8.80
| Professional | | $7.19 | $8.00 | $8.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.64 / $7.00 / $12.95
| Facility | | $6.64 | $7.00 | $12.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $7.58 / $11.49
| Professional | | $6.64 | $7.58 | $11.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $6.80 / $8.80
| Professional | | $6.36 | $6.80 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $3.39 / $6.47
| Professional | | $3.14 | $3.39 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $3.94 / $4.01
| Professional | | $3.94 | $3.94 | $4.01 |