- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $2.54 / $2.65
| Facility | | $1.12 | $2.54 | $2.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.55 / $1.12 / $2.67
| Professional | | $0.55 | $1.12 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $1.97 / $1.97
| Professional | | $1.97 | $1.97 | $1.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.72 / $80.00 / $80.00
| Facility | | $1.72 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.75 / $9.81
| Professional | | $1.42 | $1.75 | $9.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.18 / $1.18 / $1.46
| Facility | | $1.18 | $1.18 | $1.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.46
| Professional | | $1.00 | $1.00 | $1.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.21 / $1.97 / $3.52
| Facility | | $1.21 | $1.97 | $3.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $2.02 / $3.79
| Professional | | $1.23 | $2.02 | $3.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $1.71 / $2.09
| Professional | | $1.49 | $1.71 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $1.92 / $1.97
| Facility | | $1.58 | $1.92 | $1.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.97 / $1.97
| Professional | | $1.67 | $1.97 | $1.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.63 / $1.72 / $3.18
| Facility | | $1.63 | $1.72 | $3.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.63 / $1.86 / $2.82
| Professional | | $1.63 | $1.86 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $1.67 / $2.17
| Professional | | $1.57 | $1.67 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.80 / $0.84 / $1.59
| Professional | | $0.80 | $0.84 | $1.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $1.26 / $1.26
| Professional | | $1.26 | $1.26 | $1.26 |