- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.90 / $2.04 / $2.13
| Facility | | $0.90 | $2.04 | $2.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.51 / $0.90 / $2.11
| Professional | | $0.51 | $0.90 | $2.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.40 / $80.00 / $80.00
| Facility | | $1.40 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.43 / $9.11
| Professional | | $1.17 | $1.43 | $9.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $1.10
| Facility | | $1.10 | $1.10 | $1.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.94 / $0.94 / $1.35
| Professional | | $0.94 | $0.94 | $1.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $1.65 / $3.22
| Facility | | $1.27 | $1.65 | $3.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.65 / $3.51
| Professional | | $1.27 | $1.65 | $3.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.24 / $1.36
| Professional | | $1.11 | $1.24 | $1.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.52 / $1.83
| Facility | | $1.41 | $1.52 | $1.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.36 / $1.60 / $1.83
| Professional | | $1.36 | $1.60 | $1.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.40 / $2.59
| Facility | | $1.33 | $1.40 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.49 / $2.29
| Professional | | $1.33 | $1.49 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.36 / $1.72
| Professional | | $1.28 | $1.36 | $1.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.74 / $0.85 / $1.48
| Professional | | $0.74 | $0.85 | $1.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.78
| Professional | | $0.68 | $0.68 | $0.78 |