- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.91 / $1.42 / $8.23
| Facility | | $0.91 | $1.42 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.89 / $1.53 / $7.95
| Professional | | $0.89 | $1.53 | $7.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.13 / $6.61
| Professional | | $1.42 | $2.13 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $1.42 / $1.42
| Facility | | $1.32 | $1.42 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.42
| Professional | | $1.42 | $1.42 | $1.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.42 / $12.42 / $12.42
| Facility | | $12.42 | $12.42 | $12.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.03 / $1.03 / $1.03
| Professional | | $1.03 | $1.03 | $1.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $2.60 / $332.00
| Facility | | $1.42 | $2.60 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $2.06 / $3.51
| Professional | | $1.49 | $2.06 | $3.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.45 / $5.45 / $9.75
| Facility | | $5.45 | $5.45 | $9.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.45 / $9.75 / $10.35
| Professional | | $5.45 | $9.75 | $10.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.42 / $12.42 / $597.00
| Facility | | $12.42 | $12.42 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.03 / $1.03 / $10.93
| Professional | | $1.03 | $1.03 | $10.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $1.02 / $7.24
| Professional | | $0.56 | $1.02 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $9.75 / $12.74
| Facility | | $9.75 | $9.75 | $12.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.45 / $9.75 / $10.35
| Professional | | $5.45 | $9.75 | $10.35 |