- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.44 / $1.86 / $2.12
| Facility | | $1.44 | $1.86 | $2.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.89 / $2.52
| Professional | | $1.22 | $1.89 | $2.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $2.02 / $2.31
| Professional | | $1.72 | $2.02 | $2.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $4.08 / $8.39
| Facility | | $2.27 | $4.08 | $8.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $1.54 / $1.54
| Professional | | $1.37 | $1.54 | $1.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.29 / $3.57
| Professional | | $1.79 | $2.29 | $3.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $2.88 / $2.88
| Facility | | $2.88 | $2.88 | $2.88 |
- 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 / $2.04
| Professional | | $1.47 | $1.47 | $2.04 |
- 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
- $14.34 / $14.34 / $21.60
| Professional | | $14.34 | $14.34 | $21.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $2.12 / $2.88
| Facility | | $0.79 | $2.12 | $2.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $2.59 / $2.88
| Professional | | $1.76 | $2.59 | $2.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $2.06 / $2.88
| Facility | | $0.79 | $2.06 | $2.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2.40
| Professional | | $1.47 | $1.47 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.02 / $1.33 / $1.76
| Professional | | $1.02 | $1.33 | $1.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $1.84 / $2.88
| Professional | | $1.84 | $1.84 | $2.88 |