- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.60 / $2.95
| Facility | | $2.00 | $2.60 | $2.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.63 / $3.51
| Professional | | $1.97 | $2.63 | $3.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $3.73 / $10.96
| Facility | | $1.96 | $3.73 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $1.91 / $2.14
| Professional | | $1.91 | $1.91 | $2.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.21 / $4.95
| Professional | | $2.50 | $3.21 | $4.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $210.60 / $210.60
| Facility | | $4.01 | $210.60 | $210.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $2.41 / $2.41
| Facility | | $2.41 | $2.41 | $2.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.04 / $2.83
| Professional | | $2.04 | $2.04 | $2.83 |
- 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
- $19.97 / $19.97 / $30.08
| Professional | | $19.97 | $19.97 | $30.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.10 / $2.95 / $4.01
| Facility | | $1.10 | $2.95 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.61 / $4.01
| Professional | | $2.45 | $3.61 | $4.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.10 / $2.87 / $4.01
| Facility | | $1.10 | $2.87 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.04 / $3.33
| Professional | | $2.04 | $2.04 | $3.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.85 / $2.44
| Professional | | $1.41 | $1.85 | $2.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $4.01 / $5.25
| Professional | | $2.56 | $4.01 | $5.25 |