- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.49 / $1.93 / $2.11
| Facility | | $1.49 | $1.93 | $2.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $1.96 / $2.61
| Professional | | $1.29 | $1.96 | $2.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.23 / $3.35 / $8.18
| Facility | | $2.23 | $3.35 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.42
| Professional | | $1.42 | $1.42 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $2.24
| Professional | | $2.24 | $2.24 | $2.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.56 / $57.56 / $57.56
| Facility | | $57.56 | $57.56 | $57.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.79 / $1.79 / $3.49
| Facility | | $1.79 | $1.79 | $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
- $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
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $2.33 / $3.72
| Facility | | $1.96 | $2.33 | $3.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.83 / $2.98
| Professional | | $2.52 | $2.83 | $2.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $3.43 / $5.90
| Professional | | $2.20 | $3.43 | $5.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $2.34 / $3.73
| Facility | | $1.96 | $2.34 | $3.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $2.48
| Professional | | $1.52 | $1.52 | $2.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.06 / $1.37 / $1.81
| Professional | | $1.06 | $1.37 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $2.98 / $4.01
| Professional | | $1.32 | $2.98 | $4.01 |