- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $4.68 / $5.51
| Facility | | $2.47 | $4.68 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $2.49 / $4.12
| Professional | | $2.42 | $2.49 | $4.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.03 / $4.48 / $5.40
| Facility | | $3.03 | $4.48 | $5.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $2.42 / $3.56
| Professional | | $2.42 | $2.42 | $3.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $3.87
| Facility | | $3.31 | $3.31 | $3.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.42 / $5.54 / $7.92
| Facility | | $2.42 | $5.54 | $7.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $3.39 / $3.85
| Professional | | $2.39 | $3.39 | $3.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $4.99
| Facility | | $2.40 | $2.40 | $4.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.84 / $4.84
| Professional | | $3.60 | $4.84 | $4.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $4.99
| Facility | | $2.40 | $2.40 | $4.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $4.84
| Professional | | $2.40 | $2.40 | $4.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $2.27 / $85.00
| Professional | | $2.27 | $2.27 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $4.99
| Facility | | $2.40 | $2.40 | $4.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.84 / $4.84
| Professional | | $3.60 | $4.84 | $4.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.54 / $7.56
| Professional | | $2.42 | $3.54 | $7.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $85.00 / $85.00
| Facility | | $85.00 | $85.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $2.42 / $2.42
| Professional | | $2.42 | $2.42 | $2.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $3.40 / $3.40
| Professional | | $3.40 | $3.40 | $3.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $2.42 / $3.31
| Professional | | $2.42 | $2.42 | $3.31 |