- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $2.24 / $27.60
| Facility | | $0.66 | $2.24 | $27.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $0.75 / $6.29
| Professional | | $0.71 | $0.75 | $6.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.57 / $3.19
| Professional | | $2.45 | $2.57 | $3.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.80 / $0.95 / $1.61
| Facility | | $0.80 | $0.95 | $1.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $1.09 / $2.27
| Professional | | $1.09 | $1.09 | $2.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $3.61 / $5.17
| Facility | | $2.57 | $3.61 | $5.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $6.20 / $9.19
| Professional | | $2.85 | $6.20 | $9.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $1.25
| Professional | | $1.25 | $1.25 | $1.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.70 / $3.31
| Professional | | $2.45 | $2.70 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $3.19 / $5.64
| Professional | | $1.23 | $3.19 | $5.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.97 / $80.00 / $85.00
| Facility | | $4.97 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $12.20 / $18.38
| Professional | | $12.20 | $12.20 | $18.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $7.35 / $7.35
| Professional | | $7.35 | $7.35 | $7.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $2.45 / $3.32
| Facility | | $1.75 | $2.45 | $3.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $2.57
| Professional | | $1.25 | $1.25 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $4.63
| Professional | | $4.63 | $4.63 | $4.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.99 / $1.10 / $4.49
| Professional | | $0.99 | $1.10 | $4.49 |