- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $1.61 / $1.83
| Facility | | $1.22 | $1.61 | $1.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $1.61 / $2.14
| Professional | | $0.75 | $1.61 | $2.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.24 / $1.72 / $2.92
| Professional | | $1.24 | $1.72 | $2.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $2.75 / $6.73
| Facility | | $1.84 | $2.75 | $6.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $1.17
| Professional | | $1.17 | $1.17 | $1.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $1.84 / $2.08
| Professional | | $1.84 | $1.84 | $2.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.14 / $0.14 / $0.14
| Facility | | $0.14 | $0.14 | $0.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $2.87
| Facility | | $1.47 | $1.47 | $2.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $1.25
| Professional | | $1.25 | $1.25 | $1.25 |
- 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
- $3.02 / $12.20 / $18.38
| Professional | | $3.02 | $12.20 | $18.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $1.93 / $3.06
| Facility | | $1.61 | $1.93 | $3.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.33 / $2.45
| Professional | | $2.06 | $2.33 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.00 / $4.80
| Professional | | $2.45 | $3.00 | $4.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.63 / $1.93 / $3.15
| Facility | | $1.63 | $1.93 | $3.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $2.04
| Professional | | $1.25 | $1.25 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.87 / $1.14 / $1.49
| Professional | | $0.87 | $1.14 | $1.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $2.45 / $3.31
| Professional | | $1.09 | $2.45 | $3.31 |