- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $2.57 / $3.39
| Facility | | $1.82 | $2.57 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $2.09
| Professional | | $1.00 | $1.00 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $1.48 / $2.88
| Facility | | $1.29 | $1.48 | $2.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.26 / $3.09
| Professional | | $1.23 | $1.26 | $3.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.32 / $2.51
| Facility | | $1.12 | $1.32 | $2.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.58 / $3.72
| Professional | | $1.23 | $1.58 | $3.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $1.15 / $1.23
| Facility | | $1.15 | $1.15 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.23 / $1.23
| Professional | | $1.23 | $1.23 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.35 / $3.02
| Professional | | $1.10 | $1.35 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $85.11 / $85.11
| Facility | | $79.43 | $85.11 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.86 / $3.09
| Facility | | $1.23 | $1.86 | $3.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.23 / $1.51
| Professional | | $1.23 | $1.23 | $1.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $1.91 / $1.91
| Professional | | $1.91 | $1.91 | $1.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.35 / $2.09
| Professional | | $1.00 | $1.35 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $3.72 / $3.72
| Facility | | $1.23 | $3.72 | $3.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.23 / $2.57
| Professional | | $1.23 | $1.23 | $2.57 |