- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.76 / $1.93 / $16.17
| Facility | | $1.76 | $1.93 | $16.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.96 / $16.17
| Professional | | $1.93 | $2.96 | $16.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.43 / $6.41
| Facility | | $2.00 | $2.43 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $2.80 / $6.12
| Professional | | $2.80 | $2.80 | $6.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $7.65 / $11.83
| Facility | | $5.89 | $7.65 | $11.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $12.03 / $21.06
| Professional | | $3.03 | $12.03 | $21.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $3.96 / $4.13
| Facility | | $3.20 | $3.96 | $4.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.37 / $4.53
| Professional | | $3.37 | $3.37 | $4.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $5.59 / $6.71
| Professional | | $4.47 | $5.59 | $6.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $3.91 / $8.66
| Professional | | $3.35 | $3.91 | $8.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.58 / $31.58 / $49.35
| Professional | | $31.58 | $31.58 | $49.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.80 / $5.20 / $5.87
| Facility | | $1.80 | $5.20 | $5.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.96 / $5.33
| Professional | | $3.37 | $3.96 | $5.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $10.57 / $10.57
| Professional | | $10.57 | $10.57 | $10.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.67 / $6.08
| Professional | | $4.47 | $4.67 | $6.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.80 / $5.73
| Professional | | $2.50 | $2.80 | $5.73 |