- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $1.61 / $1.73
| Facility | | $1.22 | $1.61 | $1.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $1.69 / $4.80
| Professional | | $1.46 | $1.69 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.08 / $2.08
| Professional | | $2.08 | $2.08 | $2.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.88 / $2.82 / $6.75
| Facility | | $1.88 | $2.82 | $6.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $1.17
| Professional | | $1.17 | $1.17 | $1.17 |
- 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
- $1.30 / $1.30 / $7.73
| Facility | | $1.30 | $1.30 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.11
| Professional | | $1.00 | $1.00 | $1.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.97 / $90.00 / $90.00
| Facility | | $4.97 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $12.20 / $18.38
| Professional | | $12.20 | $12.20 | $18.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $2.45 / $4.28
| Facility | | $1.61 | $2.45 | $4.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.33 / $2.45
| Professional | | $2.08 | $2.33 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.62 / $5.51
| Professional | | $2.45 | $2.62 | $5.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $2.45 / $4.38
| Facility | | $1.61 | $2.45 | $4.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.11 / $1.11
| Professional | | $1.00 | $1.11 | $1.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.15 / $1.65
| Professional | | $0.87 | $1.15 | $1.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $2.45 / $3.31
| Professional | | $1.29 | $2.45 | $3.31 |