- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.68 / $1.88 / $3.64
| Facility | | $1.68 | $1.88 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $1.89 / $3.64
| Professional | | $1.68 | $1.89 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.54 / $5.07
| Professional | | $1.93 | $2.54 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.99 / $3.21 / $3.21
| Facility | | $2.99 | $3.21 | $3.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $3.21 / $3.21
| Professional | | $3.21 | $3.21 | $3.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $2.31 / $2.45
| Facility | | $2.31 | $2.31 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $1.96 / $2.72
| Professional | | $1.96 | $1.96 | $2.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $8.66 / $332.00
| Facility | | $3.85 | $8.66 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $2.77 / $6.81
| Professional | | $2.20 | $2.77 | $6.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $2.64 / $2.64
| Facility | | $2.64 | $2.64 | $2.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.78 / $3.17
| Professional | | $2.64 | $2.78 | $3.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $2.31 / $555.00
| Facility | | $2.31 | $2.31 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $2.36 / $5.63
| Professional | | $1.96 | $2.36 | $5.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.92 / $3.47
| Professional | | $1.28 | $1.92 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $2.78 / $2.78
| Facility | | $2.75 | $2.78 | $2.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.78 / $2.78
| Professional | | $2.64 | $2.78 | $2.78 |