- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $1.41 / $2.72
| Facility | | $1.25 | $1.41 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $1.41 / $2.72
| Professional | | $0.79 | $1.41 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $1.84 / $4.63
| Professional | | $1.84 | $1.84 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.23 / $2.40 / $2.40
| Facility | | $2.23 | $2.40 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.40
| Professional | | $2.40 | $2.40 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $2.14
| Facility | | $1.73 | $1.73 | $2.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2.14
| Professional | | $1.47 | $1.47 | $2.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $6.48 / $332.00
| Facility | | $2.88 | $6.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $2.16 / $5.27
| Professional | | $1.49 | $2.16 | $5.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $1.70 / $1.70
| Facility | | $1.70 | $1.70 | $1.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $1.74 / $2.06
| Professional | | $1.70 | $1.74 | $2.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $1.94 / $1.94
| Professional | | $1.94 | $1.94 | $1.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $1.73 / $555.00
| Facility | | $1.73 | $1.73 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.78 / $4.22
| Professional | | $1.47 | $1.78 | $4.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $1.55 / $2.64
| Professional | | $0.96 | $1.55 | $2.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $1.74 / $2.06
| Facility | | $1.74 | $1.74 | $2.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $1.74 / $1.85
| Professional | | $1.70 | $1.74 | $1.85 |