- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.80 / $0.87 / $8.61
| Facility | | $0.80 | $0.87 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.18 / $8.61
| Professional | | $0.87 | $1.18 | $8.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.96 / $1.14 / $1.94
| Facility | | $0.96 | $1.14 | $1.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $1.32 / $2.77
| Professional | | $1.32 | $1.32 | $2.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $4.38 / $6.30
| Facility | | $3.13 | $4.38 | $6.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $7.54 / $11.20
| Professional | | $3.46 | $7.54 | $11.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.52
| Professional | | $1.52 | $1.52 | $1.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.28 / $4.01
| Professional | | $2.98 | $3.28 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $3.73 / $6.85
| Professional | | $1.49 | $3.73 | $6.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $80.00 / $85.00
| Facility | | $6.05 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.84 / $14.84 / $22.35
| Professional | | $14.84 | $14.84 | $22.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.29 / $2.29
| Professional | | $2.29 | $2.29 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $2.98 / $4.05
| Facility | | $2.11 | $2.98 | $4.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $3.19
| Professional | | $1.52 | $1.52 | $3.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $5.62
| Professional | | $5.62 | $5.62 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.50 / $3.85
| Professional | | $2.09 | $2.50 | $3.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.19 / $1.34 / $4.18
| Professional | | $1.19 | $1.34 | $4.18 |