- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $1.22 / $2.38
| Facility | | $1.09 | $1.22 | $2.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $1.29 / $2.38
| Professional | | $1.09 | $1.29 | $2.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.44 / $3.31
| Professional | | $1.25 | $1.44 | $3.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.94 / $2.09 / $2.09
| Facility | | $1.94 | $2.09 | $2.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $2.09
| Professional | | $2.09 | $2.09 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $1.51 / $1.60
| Facility | | $1.51 | $1.51 | $1.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.28 / $1.78
| Professional | | $1.28 | $1.28 | $1.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $5.65 / $332.00
| Facility | | $2.50 | $5.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.81 / $4.44
| Professional | | $1.22 | $1.81 | $4.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $1.70 / $1.70
| Facility | | $1.70 | $1.70 | $1.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $1.81 / $2.04
| Professional | | $1.70 | $1.81 | $2.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $1.51 / $555.00
| Facility | | $1.51 | $1.51 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.28 / $3.74
| Professional | | $1.14 | $1.28 | $3.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.84 / $1.25 / $2.13
| Professional | | $0.84 | $1.25 | $2.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.80 / $1.81 / $1.81
| Facility | | $1.80 | $1.81 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $1.81 / $1.81
| Professional | | $1.70 | $1.81 | $1.81 |