- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.54 / $1.91 / $4.34
| Facility | | $1.54 | $1.91 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.61 / $2.08
| Professional | | $1.61 | $1.61 | $2.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $1.29 / $1.61
| Facility | | $1.29 | $1.29 | $1.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.51 / $1.61 / $2.33
| Professional | | $1.51 | $1.61 | $2.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.43 / $1.43 / $1.50
| Facility | | $1.43 | $1.43 | $1.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.43 / $1.43 / $1.43
| Professional | | $1.43 | $1.43 | $1.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.44 / $1.52 / $1.61
| Facility | | $1.44 | $1.52 | $1.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.61 / $1.61
| Professional | | $1.61 | $1.61 | $1.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $2.27 / $332.00
| Facility | | $1.52 | $2.27 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.67 / $2.49
| Professional | | $1.67 | $1.67 | $2.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $1.61 / $1.64
| Facility | | $1.61 | $1.61 | $1.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.61 / $1.64
| Professional | | $1.61 | $1.61 | $1.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.44 / $1.52 / $555.00
| Facility | | $1.44 | $1.52 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.61 / $2.19
| Professional | | $1.00 | $1.61 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.61 / $2.37
| Professional | | $1.61 | $1.61 | $2.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $1.64
| Facility | | $1.64 | $1.64 | $1.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.61 / $1.64
| Professional | | $1.14 | $1.61 | $1.64 |