- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.36 / $0.39 / $3.85
| Facility | | $0.36 | $0.39 | $3.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.37 / $0.56 / $3.85
| Professional | | $0.37 | $0.56 | $3.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.25 / $2.25
| Professional | | $2.25 | $2.25 | $2.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.43 / $0.51 / $0.86
| Facility | | $0.43 | $0.51 | $0.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.59 / $0.59 / $1.24
| Professional | | $0.59 | $0.59 | $1.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.39 / $1.96 / $2.80
| Facility | | $1.39 | $1.96 | $2.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $3.37 / $5.01
| Professional | | $1.55 | $3.37 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.68
| Professional | | $0.68 | $0.68 | $0.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.46 / $1.80
| Professional | | $1.33 | $1.46 | $1.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.66 / $3.06
| Professional | | $1.00 | $1.66 | $3.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.70 / $80.00 / $85.00
| Facility | | $2.70 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $7.35 / $9.98
| Professional | | $7.07 | $7.35 | $9.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.95 / $1.33 / $1.82
| Facility | | $0.95 | $1.33 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $1.42
| Professional | | $0.68 | $0.68 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.50 / $2.50
| Professional | | $2.50 | $2.50 | $2.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.25 / $0.42 / $1.12
| Professional | | $0.25 | $0.42 | $1.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.52 / $0.60 / $1.87
| Professional | | $0.52 | $0.60 | $1.87 |