- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.73 / $0.80 / $7.88
| Facility | | $0.73 | $0.80 | $7.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.80 / $1.23 / $7.88
| Professional | | $0.80 | $1.23 | $7.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.90 / $1.09 / $2.87
| Facility | | $0.90 | $1.09 | $2.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.15 / $1.25 / $2.54
| Professional | | $1.15 | $1.25 | $2.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $3.74 / $5.77
| Facility | | $2.88 | $3.74 | $5.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $5.85 / $10.28
| Professional | | $1.48 | $5.85 | $10.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $1.64 / $2.31
| Facility | | $1.50 | $1.64 | $2.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.39 / $1.86
| Professional | | $1.39 | $1.39 | $1.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.73 / $3.28
| Professional | | $2.18 | $2.73 | $3.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.91 / $4.23
| Professional | | $1.64 | $1.91 | $4.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.68 / $35.33 / $36.75
| Professional | | $18.68 | $35.33 | $36.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.75 / $2.39 / $2.77
| Facility | | $0.75 | $2.39 | $2.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.64 / $2.39
| Professional | | $1.39 | $1.64 | $2.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $5.15 / $5.15
| Professional | | $5.15 | $5.15 | $5.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.46 / $3.20
| Professional | | $2.18 | $2.46 | $3.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.23 / $3.65
| Professional | | $1.07 | $1.23 | $3.65 |