- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $0.79 / $0.79
| Facility | | $0.79 | $0.79 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.79 / $1.13
| Professional | | $0.76 | $0.79 | $1.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $2.62 / $5.54
| Professional | | $1.35 | $2.62 | $5.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $4.21 / $5.60
| Facility | | $3.60 | $4.21 | $5.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.91 / $2.75
| Professional | | $1.22 | $1.91 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $1.09 / $2.67
| Facility | | $0.79 | $1.09 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $1.09 / $2.67
| Facility | | $0.79 | $1.09 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $1.06 / $12.37
| Professional | | $0.79 | $1.06 | $12.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $85.00
| Professional | | $50.00 | $70.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $1.09 / $2.67
| Facility | | $0.79 | $1.09 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $3.09 / $4.09
| Professional | | $1.48 | $3.09 | $4.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $2.58 / $90.00
| Facility | | $2.52 | $2.58 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $6.85 / $12.37
| Professional | | $1.22 | $6.85 | $12.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.73 / $0.82 / $1.39
| Professional | | $0.73 | $0.82 | $1.39 |