- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.38 / $0.53 / $0.59
| Facility | | $0.38 | $0.53 | $0.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.38 / $0.53 / $0.65
| Professional | | $0.38 | $0.53 | $0.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.52 / $0.52 / $0.52
| Facility | | $0.52 | $0.52 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.52 / $0.52 / $0.52
| Professional | | $0.52 | $0.52 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.67 / $0.67 / $0.76
| Professional | | $0.67 | $0.67 | $0.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $4.00
| Facility | | $4.00 | $4.00 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.94 / $0.94 / $85.00
| Facility | | $0.94 | $0.94 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.80 / $0.80 / $0.80
| Professional | | $0.80 | $0.80 | $0.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $7.07 / $7.35
| Professional | | $3.15 | $7.07 | $7.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.53 / $0.85 / $1.24
| Facility | | $0.53 | $0.85 | $1.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $0.61
| Professional | | $0.61 | $0.61 | $0.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.53 / $0.85 / $1.19
| Facility | | $0.53 | $0.85 | $1.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.80 / $0.80 / $0.80
| Professional | | $0.80 | $0.80 | $0.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.36 / $0.43 / $0.76
| Professional | | $0.36 | $0.43 | $0.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.31 / $0.44 / $0.59
| Professional | | $0.31 | $0.44 | $0.59 |