- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $1.63 / $1.85
| Facility | | $1.25 | $1.63 | $1.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.65 / $2.20
| Professional | | $1.23 | $1.65 | $2.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.51 / $1.51 / $1.51
| Professional | | $1.51 | $1.51 | $1.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.21 / $1.43 / $1.60
| Facility | | $1.21 | $1.43 | $1.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.20 / $1.34
| Professional | | $1.20 | $1.20 | $1.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.00 / $3.11
| Professional | | $1.55 | $2.00 | $3.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $264.00 / $264.00
| Facility | | $2.50 | $264.00 | $264.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $1.51 / $1.60
| Facility | | $1.47 | $1.51 | $1.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.28 / $1.61
| Professional | | $1.28 | $1.28 | $1.61 |
- 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
- $12.50 / $12.50 / $18.82
| Professional | | $12.50 | $12.50 | $18.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.68 / $1.85 / $2.50
| Facility | | $0.68 | $1.85 | $2.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.25 / $2.50
| Professional | | $1.54 | $2.25 | $2.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.68 / $1.79 / $2.50
| Facility | | $0.68 | $1.79 | $2.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $1.28 / $2.09
| Professional | | $1.28 | $1.28 | $2.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.89 / $1.15 / $1.52
| Professional | | $0.89 | $1.15 | $1.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $2.50
| Professional | | $1.25 | $1.25 | $2.50 |