- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $8.33 / $8.69
| Facility | | $3.67 | $8.33 | $8.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $3.67 / $8.77
| Professional | | $1.82 | $3.67 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.46 / $6.46
| Professional | | $4.51 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $80.00 / $80.00
| Facility | | $5.66 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.71 / $32.18
| Professional | | $4.67 | $5.71 | $32.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $3.90 / $3.90
| Facility | | $3.29 | $3.90 | $3.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.32 / $4.59
| Professional | | $3.32 | $3.32 | $4.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $6.46 / $11.03
| Facility | | $3.64 | $6.46 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.46 / $11.58
| Professional | | $3.72 | $6.46 | $11.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.91 / $6.00 / $6.85
| Professional | | $4.91 | $6.00 | $6.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $6.31 / $6.46
| Facility | | $5.13 | $6.31 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $6.46 / $6.46
| Professional | | $5.64 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $5.66 / $10.46
| Facility | | $5.36 | $5.66 | $10.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $6.12 / $9.28
| Professional | | $5.36 | $6.12 | $9.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.49 / $7.11
| Professional | | $5.13 | $5.49 | $7.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $3.24 / $5.26
| Professional | | $2.62 | $3.24 | $5.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.69 / $3.69
| Professional | | $3.24 | $3.69 | $3.69 |