- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $6.11 / $6.38
| Facility | | $2.69 | $6.11 | $6.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $2.69 / $6.43
| Professional | | $1.32 | $2.69 | $6.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.74 / $4.74
| Professional | | $3.32 | $4.74 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.15 / $80.00 / $80.00
| Facility | | $4.15 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $4.23 / $23.61
| Professional | | $3.43 | $4.23 | $23.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $2.85 / $2.85
| Facility | | $2.69 | $2.85 | $2.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $2.42 / $3.35
| Professional | | $2.42 | $2.42 | $3.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $4.76 / $7.92
| Facility | | $2.73 | $4.76 | $7.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $4.79 / $8.27
| Professional | | $2.79 | $4.79 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.11 / $5.02
| Professional | | $3.60 | $4.11 | $5.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $4.63 / $4.74
| Facility | | $3.74 | $4.63 | $4.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.74 / $4.74
| Professional | | $4.13 | $4.74 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $4.15 / $7.68
| Facility | | $3.94 | $4.15 | $7.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $4.49 / $6.81
| Professional | | $3.94 | $4.49 | $6.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.03 / $5.21
| Professional | | $3.75 | $4.03 | $5.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.35 / $3.83
| Professional | | $1.85 | $2.35 | $3.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.27 / $3.01
| Professional | | $1.27 | $1.27 | $3.01 |