- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.23 / $2.63
| Facility | | $1.12 | $1.23 | $2.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.63 / $5.37
| Professional | | $1.00 | $2.63 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.62 / $0.81 / $1.35
| Facility | | $0.62 | $0.81 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.81 / $4.07
| Professional | | $0.79 | $0.81 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.51 / $3.89
| Facility | | $2.00 | $2.51 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.74 / $2.45
| Professional | | $0.56 | $0.74 | $2.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.54 / $0.54 / $0.56
| Facility | | $0.54 | $0.54 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.56
| Professional | | $0.56 | $0.56 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.51 / $0.63 / $1.51
| Professional | | $0.51 | $0.63 | $1.51 |
- 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
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.81 / $1.48 / $2.29
| Facility | | $0.81 | $1.48 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $0.85 / $1.82
| Professional | | $0.85 | $0.85 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $2.29
| Professional | | $2.29 | $2.29 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.93 / $1.45
| Professional | | $0.68 | $0.93 | $1.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $3.72
| Facility | | $3.72 | $3.72 | $3.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $1.62
| Professional | | $0.56 | $0.56 | $1.62 |