- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.84 / $6.45 / $6.73
| Facility | | $2.84 | $6.45 | $6.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.84 / $6.80
| Professional | | $1.41 | $2.84 | $6.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $2.88 / $2.88
| Professional | | $2.88 | $2.88 | $2.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $80.00 / $80.00
| Facility | | $4.38 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $4.43 / $24.95
| Professional | | $3.56 | $4.43 | $24.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $3.01 / $3.19
| Facility | | $3.01 | $3.01 | $3.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $3.54
| Professional | | $2.56 | $2.56 | $3.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $5.01 / $8.80
| Facility | | $2.73 | $5.01 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.08 / $5.09 / $9.10
| Professional | | $3.08 | $5.09 | $9.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $3.85 / $4.23
| Professional | | $3.46 | $3.85 | $4.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $4.88 / $5.01
| Facility | | $4.50 | $4.88 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.01 / $5.51
| Professional | | $4.50 | $5.01 | $5.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.16 / $4.38 / $8.11
| Facility | | $4.16 | $4.38 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.16 / $4.74 / $7.20
| Professional | | $4.16 | $4.74 | $7.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.99 / $4.26 / $5.51
| Professional | | $3.99 | $4.26 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.13 / $4.05
| Professional | | $1.97 | $2.13 | $4.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $2.47 / $2.50
| Professional | | $2.47 | $2.47 | $2.50 |