- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $0.82 / $1.40
| Facility | | $0.57 | $0.82 | $1.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.47 / $0.80 / $1.26
| Professional | | $0.47 | $0.80 | $1.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.59 / $1.05 / $1.91
| Professional | | $0.59 | $1.05 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.03 / $1.11 / $1.11
| Facility | | $1.03 | $1.11 | $1.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.11 / $1.11
| Professional | | $1.11 | $1.11 | $1.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $1.56
| Facility | | $1.56 | $1.56 | $1.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.68
| Professional | | $0.68 | $0.68 | $0.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $2.43 / $332.00
| Facility | | $1.33 | $2.43 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.01 / $1.80 / $2.89
| Professional | | $1.01 | $1.80 | $2.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.22 / $0.22 / $0.77
| Facility | | $0.22 | $0.22 | $0.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.22 / $0.77 / $0.82
| Professional | | $0.22 | $0.77 | $0.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $597.00
| Facility | | $1.56 | $1.56 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $2.29
| Professional | | $0.68 | $0.68 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.44 / $0.76 / $1.47
| Professional | | $0.44 | $0.76 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.77 / $0.77 / $0.95
| Facility | | $0.77 | $0.77 | $0.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.22 / $0.77 / $0.82
| Professional | | $0.22 | $0.77 | $0.82 |