- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $4.84 / $16.44
| Facility | | $2.16 | $4.84 | $16.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.54 / $2.64
| Professional | | $1.98 | $2.54 | $2.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.92 / $2.54 / $5.41
| Professional | | $0.92 | $2.54 | $5.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.03 / $1.03 / $1.03
| Facility | | $1.03 | $1.03 | $1.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.40 / $2.39 / $2.39
| Facility | | $0.40 | $2.39 | $2.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.54 / $2.54
| Professional | | $2.54 | $2.54 | $2.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.39 / $3.59 / $332.00
| Facility | | $2.39 | $3.59 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $5.05
| Professional | | $2.75 | $2.75 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $2.54 / $2.63
| Facility | | $2.54 | $2.54 | $2.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.54 / $2.63
| Professional | | $2.54 | $2.54 | $2.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.86 / $3.47 / $9.18
| Facility | | $0.86 | $3.47 | $9.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.40 / $2.39 / $555.00
| Facility | | $0.40 | $2.39 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $2.54 / $3.16
| Professional | | $1.32 | $2.54 | $3.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.54 / $4.58
| Professional | | $2.54 | $2.54 | $4.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $2.63 / $2.63
| Facility | | $2.63 | $2.63 | $2.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.63 / $5.72
| Professional | | $2.54 | $2.63 | $5.72 |