- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $10.78 / $11.26
| Facility | | $4.75 | $10.78 | $11.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $4.75 / $11.39
| Professional | | $3.61 | $4.75 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $80.00 / $80.00
| Facility | | $7.35 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $7.41 / $41.83
| Professional | | $5.96 | $7.41 | $41.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.04 / $5.04 / $5.34
| Facility | | $5.04 | $5.04 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $5.93
| Professional | | $4.28 | $4.28 | $5.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.79 / $8.72 / $15.43
| Facility | | $6.79 | $8.72 | $15.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.16 / $15.45
| Professional | | $6.79 | $9.16 | $15.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $6.44 / $7.08
| Professional | | $5.79 | $6.44 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.53 / $8.19 / $8.40
| Facility | | $7.53 | $8.19 | $8.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $8.40 / $9.24
| Professional | | $7.53 | $8.40 | $9.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.97 / $7.35 / $13.60
| Facility | | $6.97 | $7.35 | $13.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $7.95 / $12.06
| Professional | | $6.97 | $7.95 | $12.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $7.14 / $9.24
| Professional | | $6.67 | $7.14 | $9.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $3.56 / $6.79
| Professional | | $3.29 | $3.56 | $6.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $3.03 / $4.03
| Professional | | $3.03 | $3.03 | $4.03 |