- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.42 / $2.24
| Facility | | $1.12 | $1.42 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.36 / $1.42 / $1.51
| Professional | | $1.36 | $1.42 | $1.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.13 / $1.13 / $1.42
| Facility | | $1.13 | $1.13 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $2.00
| Professional | | $1.42 | $1.42 | $2.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.83 / $1.83 / $1.92
| Facility | | $1.83 | $1.83 | $1.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $1.83 / $1.83
| Professional | | $1.83 | $1.83 | $1.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.34 / $1.34 / $1.73
| Facility | | $1.34 | $1.34 | $1.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.42
| Professional | | $1.42 | $1.42 | $1.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.34 / $2.00 / $332.00
| Facility | | $1.34 | $2.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $2.79
| Professional | | $1.42 | $1.42 | $2.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.47
| Facility | | $1.42 | $1.42 | $1.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.47
| Professional | | $1.42 | $1.42 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.34 / $1.34 / $555.00
| Facility | | $1.34 | $1.34 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $2.22
| Professional | | $1.42 | $1.42 | $2.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.51 / $2.61
| Professional | | $1.42 | $1.51 | $2.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.47
| Facility | | $1.47 | $1.47 | $1.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.47
| Professional | | $1.42 | $1.42 | $1.47 |