- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $2.40 / $9.55
| Facility | | $1.29 | $2.40 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.04 / $1.71 / $2.82
| Professional | | $1.04 | $1.71 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $1.32 / $4.76
| Professional | | $1.32 | $1.32 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $2.48 / $2.48
| Facility | | $2.31 | $2.48 | $2.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.48 / $2.48
| Professional | | $2.48 | $2.48 | $2.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $3.49 / $3.49
| Facility | | $3.49 | $3.49 | $3.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.52
| Professional | | $1.52 | $1.52 | $1.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $5.45 / $332.00
| Facility | | $2.98 | $5.45 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $4.01 / $6.47
| Professional | | $2.98 | $4.01 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.72
| Facility | | $1.45 | $1.45 | $1.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.72 / $1.83
| Professional | | $1.45 | $1.72 | $1.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $3.49 / $597.00
| Facility | | $3.49 | $3.49 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $5.11
| Professional | | $1.52 | $1.52 | $5.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.99 / $1.79 / $3.25
| Professional | | $0.99 | $1.79 | $3.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.72 / $1.72 / $2.13
| Facility | | $1.72 | $1.72 | $2.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.72 / $1.83
| Professional | | $1.45 | $1.72 | $1.83 |