- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.91 / $2.06 / $2.16
| Facility | | $0.91 | $2.06 | $2.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.48 / $0.91 / $2.19
| Professional | | $0.48 | $0.91 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $2.98
| Professional | | $2.17 | $2.17 | $2.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $80.00 / $80.00
| Facility | | $1.41 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.41 / $11.78
| Professional | | $1.33 | $1.41 | $11.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $0.82
| Professional | | $0.82 | $0.82 | $0.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.92 / $1.70 / $2.69
| Facility | | $0.92 | $1.70 | $2.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.93 / $1.72 / $2.82
| Professional | | $0.93 | $1.72 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.36 / $60.00
| Professional | | $1.11 | $1.36 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $1.57 / $1.77
| Facility | | $1.29 | $1.57 | $1.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.61 / $1.77
| Professional | | $1.42 | $1.61 | $1.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.41 / $2.60
| Facility | | $1.33 | $1.41 | $2.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.57 / $1.81
| Professional | | $1.33 | $1.57 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.37 / $1.61
| Professional | | $1.30 | $1.37 | $1.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.80 / $1.30
| Professional | | $0.65 | $0.80 | $1.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $0.72 / $1.37
| Professional | | $0.72 | $0.72 | $1.37 |