- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $3.27 / $36.46
| Facility | | $2.37 | $3.27 | $36.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.39 / $3.25
| Professional | | $2.37 | $2.39 | $3.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $5.43
| Professional | | $2.37 | $2.37 | $5.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $4.33
| Facility | | $4.12 | $4.12 | $4.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $4.12
| Professional | | $4.12 | $4.12 | $4.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $5.24
| Facility | | $2.24 | $2.24 | $5.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $2.37
| Professional | | $2.37 | $2.37 | $2.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $3.36 / $332.00
| Facility | | $2.24 | $3.36 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $3.07
| Professional | | $2.57 | $2.57 | $3.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $2.46
| Facility | | $2.37 | $2.37 | $2.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $2.46
| Professional | | $2.37 | $2.37 | $2.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.74 / $1.98 / $2.08
| Facility | | $0.74 | $1.98 | $2.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $555.00
| Facility | | $2.24 | $2.24 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.88 / $7.00
| Professional | | $2.37 | $2.88 | $7.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $3.71
| Professional | | $2.37 | $2.37 | $3.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.46 / $2.46 / $2.46
| Facility | | $2.46 | $2.46 | $2.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.71 / $2.37 / $2.46
| Professional | | $1.71 | $2.37 | $2.46 |