- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $1.57 / $2.58
| Facility | | $1.29 | $1.57 | $2.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.30 / $1.74
| Professional | | $1.30 | $1.30 | $1.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.04 / $1.04 / $1.30
| Facility | | $1.04 | $1.04 | $1.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $1.30 / $1.30
| Professional | | $1.12 | $1.30 | $1.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.01 / $1.01 / $1.06
| Facility | | $1.01 | $1.01 | $1.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.01 / $1.01 / $1.01
| Professional | | $1.01 | $1.01 | $1.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.08 / $1.23 / $1.30
| Facility | | $1.08 | $1.23 | $1.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.33 / $1.33
| Professional | | $1.33 | $1.33 | $1.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.85 / $332.00
| Facility | | $1.23 | $1.85 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.71
| Professional | | $1.41 | $1.41 | $1.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.30 / $1.30 / $1.35
| Facility | | $1.30 | $1.30 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.30 / $1.35
| Professional | | $1.30 | $1.30 | $1.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.08 / $1.23 / $555.00
| Facility | | $1.08 | $1.23 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.33 / $1.64
| Professional | | $1.23 | $1.33 | $1.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.30 / $1.75
| Professional | | $1.30 | $1.30 | $1.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $1.35
| Facility | | $1.35 | $1.35 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.30 / $1.35
| Professional | | $1.30 | $1.30 | $1.35 |