- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $3.31 / $3.57
| Facility | | $2.50 | $3.31 | $3.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.31 / $4.41
| Professional | | $2.19 | $3.31 | $4.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.77 / $5.03 / $13.83
| Facility | | $3.77 | $5.03 | $13.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.69
| Professional | | $2.40 | $2.40 | $2.69 |
- 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
- $3.03 / $3.03 / $5.89
| Facility | | $3.03 | $3.03 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $2.58 / $2.58
| Professional | | $2.58 | $2.58 | $2.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $80.00 / $85.00
| Facility | | $10.21 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.05 / $25.05 / $37.72
| Professional | | $25.05 | $25.05 | $37.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.95 / $6.29
| Facility | | $3.31 | $3.95 | $6.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $4.78 / $5.03
| Professional | | $4.26 | $4.78 | $5.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $5.78 / $9.90
| Professional | | $3.70 | $5.78 | $9.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.97 / $6.32
| Facility | | $3.31 | $3.97 | $6.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $2.58 / $4.20
| Professional | | $2.58 | $2.58 | $4.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.33 / $3.07
| Professional | | $1.78 | $2.33 | $3.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $5.03 / $6.79
| Professional | | $2.24 | $5.03 | $6.79 |