- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.97 / $1.06 / $10.44
| Facility | | $0.97 | $1.06 | $10.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.97 / $1.69 / $10.44
| Professional | | $0.97 | $1.69 | $10.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.17 / $1.39 / $2.36
| Facility | | $1.17 | $1.39 | $2.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $1.60 / $3.37
| Professional | | $1.60 | $1.60 | $3.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $5.33 / $7.64
| Facility | | $3.80 | $5.33 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $9.15 / $13.63
| Professional | | $4.22 | $9.15 | $13.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $1.85
| Professional | | $1.85 | $1.85 | $1.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $3.98 / $4.88
| Professional | | $3.62 | $3.98 | $4.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $4.53 / $8.33
| Professional | | $2.00 | $4.53 | $8.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $80.00 / $85.00
| Facility | | $7.35 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.03 / $18.03 / $27.15
| Professional | | $18.03 | $18.03 | $27.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.58 / $3.62 / $4.91
| Facility | | $2.58 | $3.62 | $4.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $3.88
| Professional | | $1.85 | $1.85 | $3.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $6.83 / $6.83
| Professional | | $6.83 | $6.83 | $6.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.63 / $3.42
| Professional | | $2.52 | $2.63 | $3.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.63 / $4.05
| Professional | | $1.45 | $1.63 | $4.05 |