- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.94 / $1.32 / $2.24
| Facility | | $0.94 | $1.32 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.94 / $1.32 / $2.02
| Professional | | $0.94 | $1.32 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.57 / $0.92 / $3.06
| Professional | | $0.57 | $0.92 | $3.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.66 / $1.79 / $1.79
| Facility | | $1.66 | $1.79 | $1.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $1.79 / $1.79
| Professional | | $1.79 | $1.79 | $1.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $2.50 / $2.50
| Facility | | $2.50 | $2.50 | $2.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $1.10
| Professional | | $1.10 | $1.10 | $1.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.14 / $3.92 / $332.00
| Facility | | $2.14 | $3.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.24 / $2.89 / $4.63
| Professional | | $1.24 | $2.89 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.35 / $0.35 / $1.23
| Facility | | $0.35 | $0.35 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.35 / $1.23 / $1.31
| Professional | | $0.35 | $1.23 | $1.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $2.50 / $597.00
| Facility | | $2.50 | $2.50 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $3.69
| Professional | | $1.10 | $1.10 | $3.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $1.28 / $2.35
| Professional | | $0.72 | $1.28 | $2.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.23 / $1.53
| Facility | | $1.23 | $1.23 | $1.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.35 / $1.23 / $1.31
| Professional | | $0.35 | $1.23 | $1.31 |