- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $1.95 / $3.09
| Facility | | $1.70 | $1.95 | $3.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.58 / $25.12
| Professional | | $1.00 | $1.58 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $2.14 / $7.41
| Facility | | $1.00 | $2.14 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $6.31 / $17.78
| Professional | | $2.75 | $6.31 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $15.14 / $19.05
| Facility | | $13.49 | $15.14 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.29 / $19.05
| Professional | | $1.00 | $1.29 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.85 / $0.85 / $0.91
| Facility | | $0.85 | $0.85 | $0.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $0.91 / $0.91
| Professional | | $0.91 | $0.91 | $0.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $1.00 / $14.13
| Professional | | $0.81 | $1.00 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $8.71
| Professional | | $8.71 | $8.71 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $11.75 / $18.62
| Facility | | $0.98 | $11.75 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $10.47
| Professional | | $7.76 | $7.76 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $11.75
| Professional | | $11.75 | $11.75 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $21.88
| Facility | | $21.88 | $21.88 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $0.91 / $3.47
| Professional | | $0.91 | $0.91 | $3.47 |