- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.90 / $8.85 / $9.24
| Facility | | $3.90 | $8.85 | $9.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $3.90 / $9.33
| Professional | | $1.94 | $3.90 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $80.00 / $80.00
| Facility | | $6.02 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $6.07 / $34.21
| Professional | | $4.96 | $6.07 | $34.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $4.13 / $4.44
| Facility | | $4.13 | $4.13 | $4.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $3.51 / $4.86
| Professional | | $3.51 | $3.51 | $4.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.03 / $6.92 / $11.82
| Facility | | $4.03 | $6.92 | $11.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $7.08 / $12.41
| Professional | | $4.03 | $7.08 | $12.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $5.27 / $5.79
| Professional | | $4.74 | $5.27 | $5.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.18 / $6.71 / $6.87
| Facility | | $6.18 | $6.71 | $6.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $6.87 / $6.87
| Professional | | $6.01 | $6.87 | $6.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.70 / $6.02 / $11.13
| Facility | | $5.70 | $6.02 | $11.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $6.51 / $9.88
| Professional | | $5.70 | $6.51 | $9.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $5.84 / $7.56
| Professional | | $5.46 | $5.84 | $7.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $2.92 / $5.56
| Professional | | $2.70 | $2.92 | $5.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $3.38 / $3.45
| Professional | | $3.38 | $3.38 | $3.45 |