- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.14 / $4.86 / $5.07
| Facility | | $2.14 | $4.86 | $5.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $2.14 / $5.13
| Professional | | $1.07 | $2.14 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $2.65 / $2.65
| Professional | | $2.17 | $2.65 | $2.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $80.00 / $80.00
| Facility | | $3.31 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $3.38 / $18.82
| Professional | | $2.68 | $3.38 | $18.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $2.27 / $2.40
| Facility | | $2.27 | $2.27 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $1.93 / $2.67
| Professional | | $1.93 | $1.93 | $2.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.97 / $3.86 / $6.86
| Facility | | $2.97 | $3.86 | $6.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $4.07 / $7.02
| Professional | | $2.97 | $4.07 | $7.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $2.90 / $3.19
| Professional | | $2.61 | $2.90 | $3.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.40 / $3.69 / $3.78
| Facility | | $3.40 | $3.69 | $3.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.78 / $3.78
| Professional | | $3.30 | $3.78 | $3.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $3.31 / $6.12
| Facility | | $3.14 | $3.31 | $6.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $3.58 / $5.44
| Professional | | $3.14 | $3.58 | $5.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.21 / $4.16
| Professional | | $3.00 | $3.21 | $4.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.60 / $3.06
| Professional | | $1.48 | $1.60 | $3.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $2.02 / $2.02
| Professional | | $1.89 | $2.02 | $2.02 |