- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.60 / $3.37 / $3.83
| Facility | | $2.60 | $3.37 | $3.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.42 / $4.55
| Professional | | $2.54 | $3.42 | $4.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $2.97 / $3.32
| Facility | | $2.74 | $2.97 | $3.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.48 / $2.78
| Professional | | $2.48 | $2.48 | $2.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.17 / $6.44
| Professional | | $3.25 | $4.17 | $6.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.21 / $5.21 / $5.21
| Facility | | $5.21 | $5.21 | $5.21 |
- 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 / $3.60
| Professional | | $2.66 | $2.66 | $3.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.95 / $25.95 / $39.08
| Professional | | $25.95 | $25.95 | $39.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $3.83 / $5.21
| Facility | | $1.42 | $3.83 | $5.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.69 / $5.21
| Professional | | $3.19 | $4.69 | $5.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $3.72 / $5.21
| Facility | | $1.42 | $3.72 | $5.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $2.66 / $4.33
| Professional | | $2.66 | $2.66 | $4.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.40 / $3.16
| Professional | | $1.84 | $2.40 | $3.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $2.60 / $5.21
| Professional | | $2.60 | $2.60 | $5.21 |