- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.39 / $1.96 / $3.34
| Facility | | $1.39 | $1.96 | $3.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.96 / $3.02
| Professional | | $1.39 | $1.96 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $1.90 / $4.95
| Professional | | $1.37 | $1.90 | $4.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $2.66 / $2.66
| Facility | | $2.47 | $2.66 | $2.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $2.66 / $2.66
| Professional | | $2.66 | $2.66 | $2.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $3.74 / $3.74
| Facility | | $3.74 | $3.74 | $3.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $1.62
| Professional | | $1.62 | $1.62 | $1.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $5.84 / $332.00
| Facility | | $3.19 | $5.84 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $4.30 / $6.92
| Professional | | $2.41 | $4.30 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $2.41 / $2.41
| Facility | | $1.84 | $2.41 | $2.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $1.96 / $2.41
| Professional | | $1.84 | $1.96 | $2.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $3.74 / $597.00
| Facility | | $3.74 | $3.74 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $5.46
| Professional | | $1.62 | $1.62 | $5.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $2.00
| Professional | | $1.40 | $1.40 | $2.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $1.84 / $2.27
| Facility | | $1.84 | $1.84 | $2.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $1.96 / $2.41
| Professional | | $1.84 | $1.96 | $2.41 |