- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $3.34 / $3.48
| Facility | | $1.47 | $3.34 | $3.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.47 / $3.52
| Professional | | $1.11 | $1.47 | $3.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $80.00 / $80.00
| Facility | | $2.27 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.29 / $12.90
| Professional | | $1.84 | $2.29 | $12.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $1.66
| Facility | | $1.56 | $1.56 | $1.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.33 / $1.84
| Professional | | $1.33 | $1.33 | $1.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.36 / $2.54 / $4.72
| Facility | | $1.36 | $2.54 | $4.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.59 / $4.94
| Professional | | $1.55 | $2.59 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.20 / $72.00
| Professional | | $1.80 | $2.20 | $72.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $2.52 / $2.59
| Facility | | $2.33 | $2.52 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $2.59 / $2.85
| Professional | | $2.27 | $2.59 | $2.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.15 / $2.27 / $4.19
| Facility | | $2.15 | $2.27 | $4.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.45 / $3.73
| Professional | | $2.15 | $2.45 | $3.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.20 / $2.85
| Professional | | $2.06 | $2.20 | $2.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.02 / $1.10 / $2.10
| Professional | | $1.02 | $1.10 | $2.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.37 / $1.37
| Professional | | $1.30 | $1.37 | $1.37 |