- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.66 / $1.87 / $3.61
| Facility | | $1.66 | $1.87 | $3.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $1.96 / $3.61
| Professional | | $1.66 | $1.96 | $3.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.63 / $5.01
| Professional | | $1.91 | $2.63 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $3.18 / $3.18
| Facility | | $2.96 | $3.18 | $3.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $3.18 / $3.18
| Professional | | $3.18 | $3.18 | $3.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $2.42
| Facility | | $2.29 | $2.29 | $2.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $1.95 / $2.69
| Professional | | $1.95 | $1.95 | $2.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $8.57 / $332.00
| Facility | | $3.81 | $8.57 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.74 / $6.74
| Professional | | $2.18 | $2.74 | $6.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $1.78
| Facility | | $1.78 | $1.78 | $1.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.76 / $2.76
| Professional | | $1.78 | $2.76 | $2.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $555.00
| Facility | | $2.29 | $2.29 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.34 / $5.63
| Professional | | $1.95 | $2.34 | $5.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.90 / $3.28
| Professional | | $1.27 | $1.90 | $3.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $2.76 / $2.76
| Facility | | $2.73 | $2.76 | $2.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.76 / $2.76
| Professional | | $1.78 | $2.76 | $2.76 |