- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.44 / $0.48 / $4.65
| Facility | | $0.44 | $0.48 | $4.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.47 / $0.55 / $4.65
| Professional | | $0.47 | $0.55 | $4.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.21 / $1.21 / $1.61
| Professional | | $1.21 | $1.21 | $1.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.53 / $0.63 / $1.06
| Facility | | $0.53 | $0.63 | $1.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $0.72 / $1.50
| Professional | | $0.72 | $0.72 | $1.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $2.40 / $3.44
| Facility | | $1.71 | $2.40 | $3.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $4.07 / $6.04
| Professional | | $1.87 | $4.07 | $6.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $0.82
| Professional | | $0.82 | $0.82 | $0.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.77 / $2.17
| Professional | | $1.61 | $1.77 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.09 / $4.00
| Professional | | $1.00 | $2.09 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $80.00 / $85.00
| Facility | | $3.27 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.02 / $12.08
| Professional | | $8.02 | $8.02 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.30 / $3.30
| Professional | | $3.30 | $3.30 | $3.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $1.61 / $2.19
| Facility | | $1.15 | $1.61 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $1.70
| Professional | | $0.82 | $0.82 | $1.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $3.04 / $3.04
| Professional | | $3.04 | $3.04 | $3.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.73 / $2.10
| Professional | | $0.65 | $0.73 | $2.10 |