- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.31 / $2.24 / $5.88
| Facility | | $1.31 | $2.24 | $5.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.34 / $1.35 / $1.85
| Professional | | $1.34 | $1.35 | $1.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.35 / $4.17
| Professional | | $1.25 | $1.35 | $4.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $1.15
| Facility | | $1.10 | $1.10 | $1.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.10 / $1.10
| Professional | | $1.10 | $1.10 | $1.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $1.27 / $4.36
| Facility | | $1.27 | $1.27 | $4.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $3.15
| Professional | | $1.35 | $1.35 | $3.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.46 / $2.29 / $332.00
| Facility | | $1.46 | $2.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.47 / $9.42
| Professional | | $1.17 | $1.47 | $9.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $1.40
| Facility | | $1.35 | $1.35 | $1.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $1.40
| Professional | | $1.35 | $1.35 | $1.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $1.35 / $11.60
| Facility | | $1.27 | $1.35 | $11.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.41 / $4.36
| Professional | | $1.35 | $1.41 | $4.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.54 / $1.35 / $2.12
| Professional | | $0.54 | $1.35 | $2.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.40
| Facility | | $1.40 | $1.40 | $1.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.40 / $5.25
| Professional | | $1.35 | $1.40 | $5.25 |