- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $1.68 / $1.91
| Facility | | $1.29 | $1.68 | $1.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $1.70 / $2.27
| Professional | | $1.29 | $1.70 | $2.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.37 / $1.48 / $1.66
| Facility | | $1.37 | $1.48 | $1.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.24 / $1.24 / $1.38
| Professional | | $1.24 | $1.24 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.06 / $3.21
| Professional | | $1.61 | $2.06 | $3.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $2.59 / $2.59
| Facility | | $2.59 | $2.59 | $2.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $1.73
| Facility | | $1.56 | $1.56 | $1.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.33 / $1.66
| Professional | | $1.33 | $1.33 | $1.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.90 / $12.90 / $19.43
| Professional | | $12.90 | $12.90 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $1.91 / $2.59
| Facility | | $0.71 | $1.91 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.59 / $2.33 / $2.59
| Professional | | $1.59 | $2.33 | $2.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $1.86 / $2.59
| Facility | | $0.71 | $1.86 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.33 / $2.16
| Professional | | $1.33 | $1.33 | $2.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.92 / $1.20 / $1.58
| Professional | | $0.92 | $1.20 | $1.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.30 / $2.59
| Professional | | $1.30 | $1.30 | $2.59 |