- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.81 / $2.38 / $2.57
| Facility | | $1.81 | $2.38 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $2.38 / $3.17
| Professional | | $1.57 | $2.38 | $3.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $4.05 / $9.93
| Facility | | $2.74 | $4.05 | $9.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $1.73
| Professional | | $1.73 | $1.73 | $1.73 |
- 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
- $2.18 / $2.18 / $4.25
| Facility | | $2.18 | $2.18 | $4.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $1.85
| Professional | | $1.85 | $1.85 | $1.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $80.00 / $85.00
| Facility | | $7.35 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.03 / $18.03 / $27.15
| Professional | | $18.03 | $18.03 | $27.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $2.84 / $4.51
| Facility | | $2.41 | $2.84 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.44 / $3.62
| Professional | | $3.06 | $3.44 | $3.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $4.16 / $7.10
| Professional | | $2.60 | $4.16 | $7.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $2.84 / $4.53
| Facility | | $2.41 | $2.84 | $4.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $3.01
| Professional | | $1.85 | $1.85 | $3.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.67 / $2.19
| Professional | | $1.28 | $1.67 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $3.62 / $4.88
| Professional | | $1.60 | $3.62 | $4.88 |