- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1.19 / $2.17
| Facility | | $1.00 | $1.19 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $1.19 / $2.17
| Professional | | $0.91 | $1.19 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.14 / $3.42
| Professional | | $1.14 | $1.14 | $3.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $1.91 / $1.91
| Facility | | $1.78 | $1.91 | $1.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $1.91 / $1.91
| Professional | | $1.91 | $1.91 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.37 / $1.37 / $1.41
| Facility | | $1.37 | $1.37 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.98 / $1.15 / $1.41
| Professional | | $0.98 | $1.15 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $5.15 / $332.00
| Facility | | $2.29 | $5.15 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.75 / $4.19
| Professional | | $1.35 | $1.75 | $4.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $1.75
| Facility | | $1.75 | $1.75 | $1.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.67 / $1.91
| Professional | | $1.67 | $1.67 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.37 / $1.37 / $555.00
| Facility | | $1.37 | $1.37 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.98 / $1.15 / $2.63
| Professional | | $0.98 | $1.15 | $2.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $1.14 / $1.98
| Professional | | $0.76 | $1.14 | $1.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $1.67 / $1.88
| Facility | | $1.67 | $1.67 | $1.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.67 / $1.75
| Professional | | $1.67 | $1.67 | $1.75 |