- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.45 / $0.50 / $4.82
| Facility | | $0.45 | $0.50 | $4.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.45 / $0.78 / $4.82
| Professional | | $0.45 | $0.78 | $4.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.55 / $0.65 / $1.10
| Facility | | $0.55 | $0.65 | $1.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $0.75 / $1.55
| Professional | | $0.75 | $0.75 | $1.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $2.49 / $3.57
| Facility | | $1.78 | $2.49 | $3.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $4.23 / $6.28
| Professional | | $1.94 | $4.23 | $6.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $0.85 / $0.85
| Professional | | $0.85 | $0.85 | $0.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.84 / $2.25
| Professional | | $1.67 | $1.84 | $2.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.09 / $3.84
| Professional | | $1.00 | $2.09 | $3.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $80.00 / $85.00
| Facility | | $3.39 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $17.67 / $18.38
| Professional | | $12.53 | $17.67 | $18.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.21 / $1.67 / $2.35
| Facility | | $1.21 | $1.67 | $2.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $0.85 / $1.83
| Professional | | $0.85 | $0.85 | $1.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $3.15 / $3.15
| Professional | | $3.15 | $3.15 | $3.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.34 / $1.49 / $1.93
| Professional | | $1.34 | $1.49 | $1.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.67 / $0.76 / $2.34
| Professional | | $0.67 | $0.76 | $2.34 |