- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $8.40 / $8.77
| Facility | | $3.70 | $8.40 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $3.79 / $8.86
| Professional | | $2.81 | $3.79 | $8.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $4.25 / $4.25
| Professional | | $4.25 | $4.25 | $4.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $75.00 / $80.00
| Facility | | $5.55 | $75.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.72 / $32.52
| Professional | | $4.63 | $5.72 | $32.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $4.16
| Facility | | $3.93 | $3.93 | $4.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $3.34 / $4.62
| Professional | | $3.34 | $3.34 | $4.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $6.53 / $11.03
| Facility | | $3.72 | $6.53 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $6.69 / $11.94
| Professional | | $4.09 | $6.69 | $11.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.00 / $5.50
| Professional | | $4.50 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.84 / $6.38 / $6.53
| Facility | | $5.84 | $6.38 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $6.53 / $6.53
| Professional | | $5.70 | $6.53 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $5.72 / $10.58
| Facility | | $5.42 | $5.72 | $10.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $6.19 / $9.39
| Professional | | $5.42 | $6.19 | $9.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $5.55 / $7.18
| Professional | | $5.18 | $5.55 | $7.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.77 / $5.29
| Professional | | $2.56 | $2.77 | $5.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $6.14 / $6.14
| Professional | | $3.20 | $6.14 | $6.14 |