- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.54 / $0.59 / $5.79
| Facility | | $0.54 | $0.59 | $5.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.54 / $1.03 / $5.79
| Professional | | $0.54 | $1.03 | $5.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.60 / $0.72 / $1.22
| Facility | | $0.60 | $0.72 | $1.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.83 / $0.83 / $4.41
| Professional | | $0.83 | $0.83 | $4.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.12 / $2.97 / $4.26
| Facility | | $2.12 | $2.97 | $4.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $5.08 / $7.55
| Professional | | $2.33 | $5.08 | $7.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $0.82
| Professional | | $0.82 | $0.82 | $0.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.21 / $2.71
| Professional | | $2.00 | $2.21 | $2.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.50 / $4.62
| Professional | | $1.00 | $2.50 | $4.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.08 / $80.00 / $85.00
| Facility | | $4.08 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.01 / $10.01 / $285.45
| Professional | | $10.01 | $10.01 | $285.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $4.12
| Professional | | $4.12 | $4.12 | $4.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $2.00 / $2.75
| Facility | | $1.51 | $2.00 | $2.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $2.12
| Professional | | $0.82 | $0.82 | $2.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $3.79 / $3.79
| Professional | | $3.79 | $3.79 | $3.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.80 / $0.91 / $2.61
| Professional | | $0.80 | $0.91 | $2.61 |