- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.73 / $8.47 / $8.84
| Facility | | $3.73 | $8.47 | $8.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.83 / $3.73 / $8.84
| Professional | | $2.83 | $3.73 | $8.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $75.00 / $80.00
| Facility | | $5.77 | $75.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.77 / $31.58
| Professional | | $4.34 | $5.77 | $31.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $3.96 / $3.96
| Facility | | $3.96 | $3.96 | $3.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.37 / $4.88
| Professional | | $3.37 | $3.37 | $4.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $6.97 / $11.99
| Facility | | $5.51 | $6.97 | $11.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.57 / $12.41
| Professional | | $5.51 | $7.57 | $12.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $4.92 / $5.41
| Professional | | $4.42 | $4.92 | $5.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.44 / $5.47 / $6.43
| Facility | | $4.44 | $5.47 | $6.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $5.59 / $6.58
| Professional | | $4.90 | $5.59 | $6.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.47 / $5.77 / $13.18
| Facility | | $5.47 | $5.77 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $5.96 / $9.47
| Professional | | $5.47 | $5.96 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.27 / $6.43 / $6.43
| Facility | | $6.27 | $6.43 | $6.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $5.59 / $6.91
| Professional | | $5.23 | $5.59 | $6.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $2.80 / $5.33
| Professional | | $2.58 | $2.80 | $5.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $4.80 / $4.80
| Professional | | $2.80 | $4.80 | $4.80 |