- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $4.36 / $7.14
| Facility | | $3.50 | $4.36 | $7.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $4.82
| Professional | | $3.50 | $3.50 | $4.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $2.80 / $3.50
| Facility | | $2.80 | $2.80 | $3.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $3.50 / $3.59
| Professional | | $3.36 | $3.50 | $3.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.10 / $3.10 / $3.26
| Facility | | $3.10 | $3.10 | $3.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $3.10 / $3.10
| Professional | | $3.10 | $3.10 | $3.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $3.50
| Facility | | $3.31 | $3.31 | $3.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $3.50
| Professional | | $3.50 | $3.50 | $3.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $4.97 / $332.00
| Facility | | $3.31 | $4.97 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $4.53
| Professional | | $3.80 | $3.80 | $4.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $3.64
| Facility | | $3.50 | $3.50 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $3.64
| Professional | | $3.50 | $3.50 | $3.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $555.00
| Facility | | $3.31 | $3.31 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $5.22
| Professional | | $3.50 | $3.50 | $5.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $4.90
| Professional | | $3.50 | $3.50 | $4.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $3.64
| Facility | | $3.64 | $3.64 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.50 / $3.64
| Professional | | $3.50 | $3.50 | $3.64 |