- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $2.54 / $4.92
| Facility | | $2.25 | $2.54 | $4.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.54 / $4.92
| Professional | | $1.81 | $2.54 | $4.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $2.60 / $7.67
| Professional | | $2.60 | $2.60 | $7.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $4.34 / $4.34
| Facility | | $4.04 | $4.34 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $4.34 / $4.34
| Professional | | $4.34 | $4.34 | $4.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $3.13 / $3.60
| Facility | | $3.13 | $3.13 | $3.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $2.66 / $3.68
| Professional | | $2.66 | $2.66 | $3.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.21 / $11.72 / $332.00
| Facility | | $5.21 | $11.72 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.91 / $9.52
| Professional | | $3.07 | $3.91 | $9.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.86 / $3.86 / $3.86
| Facility | | $3.86 | $3.86 | $3.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $3.76 / $4.34
| Professional | | $3.76 | $3.76 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $3.65 / $3.65
| Professional | | $3.65 | $3.65 | $3.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $3.13 / $555.00
| Facility | | $3.13 | $3.13 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $3.19 / $7.50
| Professional | | $2.66 | $3.19 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $2.60 / $4.69
| Professional | | $1.73 | $2.60 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $3.76 / $3.76
| Facility | | $3.72 | $3.76 | $3.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $3.76 / $3.86
| Professional | | $3.76 | $3.76 | $3.86 |