- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $2.10 / $2.35
| Facility | | $1.60 | $2.10 | $2.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $2.10 / $2.80
| Professional | | $1.39 | $2.10 | $2.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.38 / $3.60 / $8.74
| Facility | | $2.38 | $3.60 | $8.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.52
| Professional | | $1.52 | $1.52 | $1.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $1.91 / $3.74
| Facility | | $1.91 | $1.91 | $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
- $6.48 / $80.00 / $85.00
| Facility | | $6.48 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.89 / $15.89 / $23.93
| Professional | | $15.89 | $15.89 | $23.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $2.49 / $3.98
| Facility | | $2.10 | $2.49 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $3.03 / $3.19
| Professional | | $2.71 | $3.03 | $3.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $4.50 / $6.30
| Professional | | $4.00 | $4.50 | $6.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $2.50 / $4.09
| Facility | | $2.13 | $2.50 | $4.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $2.65
| Professional | | $1.62 | $1.62 | $2.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.42
| Professional | | $1.40 | $1.40 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $3.19 / $4.30
| Professional | | $1.37 | $3.19 | $4.30 |