- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.93 / $1.02 / $10.02
| Facility | | $0.93 | $1.02 | $10.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.94 / $1.52 / $9.69
| Professional | | $0.94 | $1.52 | $9.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $1.93 / $5.09
| Facility | | $1.60 | $1.93 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $2.88 / $3.25
| Professional | | $1.57 | $2.88 | $3.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $4.75 / $7.34
| Facility | | $3.66 | $4.75 | $7.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $7.47 / $13.13
| Professional | | $1.88 | $7.47 | $13.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $2.09 / $2.76
| Facility | | $1.89 | $2.09 | $2.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $2.46
| Professional | | $1.78 | $1.78 | $2.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $3.49 / $4.19
| Professional | | $2.79 | $3.49 | $4.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.44 / $5.41
| Professional | | $2.09 | $2.44 | $5.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $26.18
| Professional | | $17.38 | $17.38 | $26.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.15 / $32.34 / $32.34
| Professional | | $7.15 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.95 / $3.07 / $3.49
| Facility | | $0.95 | $3.07 | $3.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.09 / $3.18
| Professional | | $1.78 | $2.09 | $3.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $6.56 / $6.56
| Professional | | $6.56 | $6.56 | $6.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $2.79 / $2.79
| Professional | | $2.79 | $2.79 | $2.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.48 / $3.42
| Professional | | $1.33 | $1.48 | $3.42 |