- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $2.48 / $2.68
| Facility | | $1.89 | $2.48 | $2.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $2.48 / $3.38
| Professional | | $1.76 | $2.48 | $3.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $4.24 / $10.36
| Facility | | $2.83 | $4.24 | $10.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $1.80 / $1.80
| Professional | | $1.80 | $1.80 | $1.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.84 / $3.21 / $3.21
| Facility | | $2.84 | $3.21 | $3.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $2.84 / $2.84
| Professional | | $2.84 | $2.84 | $2.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.80 / $27.80 / $27.80
| Facility | | $27.80 | $27.80 | $27.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $2.47 / $4.80
| Facility | | $2.47 | $2.47 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.10 / $2.10
| Professional | | $2.10 | $2.10 | $2.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $80.00 / $85.00
| Facility | | $7.08 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.34 / $20.34 / $30.83
| Professional | | $20.34 | $20.34 | $30.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.48 / $2.97 / $4.63
| Facility | | $2.48 | $2.97 | $4.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.59 / $4.11
| Professional | | $3.06 | $3.59 | $4.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $5.30 / $8.10
| Professional | | $3.10 | $5.30 | $8.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $2.97 / $4.86
| Facility | | $2.50 | $2.97 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.10 / $3.60
| Professional | | $2.10 | $2.10 | $3.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $1.89 / $2.49
| Professional | | $1.46 | $1.89 | $2.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.78 / $5.09
| Professional | | $1.87 | $3.78 | $5.09 |