- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.74 / $10.76 / $11.23
| Facility | | $4.74 | $10.76 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.74 / $11.36
| Professional | | $3.60 | $4.74 | $11.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $80.00 / $80.00
| Facility | | $7.33 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $7.39 / $41.73
| Professional | | $6.00 | $7.39 | $41.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $5.03 / $5.33
| Facility | | $5.03 | $5.03 | $5.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $5.92
| Professional | | $4.28 | $4.28 | $5.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.96 / $8.48 / $14.18
| Facility | | $4.96 | $8.48 | $14.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $8.60 / $14.89
| Professional | | $4.96 | $8.60 | $14.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $6.42 / $7.06
| Professional | | $5.77 | $6.42 | $7.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $8.18 / $8.38
| Facility | | $7.51 | $8.18 | $8.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $8.38 / $9.22
| Professional | | $7.32 | $8.38 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.95 / $7.33 / $13.56
| Facility | | $6.95 | $7.33 | $13.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $7.93 / $12.03
| Professional | | $6.95 | $7.93 | $12.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $7.12 / $9.22
| Professional | | $6.65 | $7.12 | $9.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $3.55 / $6.77
| Professional | | $3.28 | $3.55 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $4.20
| Professional | | $4.12 | $4.12 | $4.20 |