- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.96 / $10.19 / $16.62
| Facility | | $4.96 | $10.19 | $16.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $5.11 / $9.63
| Professional | | $3.17 | $5.11 | $9.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $15.16
| Facility | | $5.83 | $5.83 | $15.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.97 / $10.23
| Professional | | $2.04 | $2.97 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $5.83
| Facility | | $5.83 | $5.83 | $5.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.83 / $5.83
| Professional | | $4.26 | $5.83 | $5.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $12.00 / $15.39
| Facility | | $4.07 | $12.00 | $15.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.06 / $9.50
| Professional | | $3.06 | $3.06 | $9.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $10.67 / $332.00
| Facility | | $5.83 | $10.67 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.44 / $10.90
| Professional | | $2.33 | $3.44 | $10.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.41 / $8.05
| Professional | | $3.86 | $5.41 | $8.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $12.22 / $20.12
| Facility | | $5.34 | $12.22 | $20.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.37 / $9.50
| Professional | | $3.06 | $4.37 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.50 / $8.75
| Professional | | $2.95 | $3.50 | $8.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $6.70 / $6.70
| Facility | | $5.83 | $6.70 | $6.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.66 / $7.01
| Professional | | $3.86 | $5.66 | $7.01 |