- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $11.78 / $12.30
| Facility | | $5.19 | $11.78 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $5.19 / $10.57
| Professional | | $2.58 | $5.19 | $10.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $8.50 / $9.16
| Professional | | $6.41 | $8.50 | $9.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $80.00 / $80.00
| Facility | | $8.02 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $7.79 / $45.62
| Professional | | $5.14 | $7.79 | $45.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.50 / $6.62
| Facility | | $5.50 | $5.50 | $6.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $6.62
| Professional | | $4.68 | $4.68 | $6.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.27 / $9.16 / $14.97
| Facility | | $5.27 | $9.16 | $14.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $9.22 / $16.86
| Professional | | $5.27 | $9.22 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $7.95 / $9.72
| Professional | | $6.96 | $7.95 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.18 / $7.61 / $9.16
| Facility | | $6.18 | $7.61 | $9.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $7.79 / $9.16
| Professional | | $6.80 | $7.79 | $9.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.61 / $8.02 / $14.84
| Facility | | $7.61 | $8.02 | $14.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $8.27 / $13.17
| Professional | | $7.61 | $8.27 | $13.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $7.79 / $9.61
| Professional | | $7.27 | $7.79 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.59 / $4.19 / $7.41
| Professional | | $3.59 | $4.19 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $6.71 / $6.71
| Professional | | $3.90 | $6.71 | $6.71 |