- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.88 / $1.15 / $1.43
| Facility | | $0.88 | $1.15 | $1.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.77 / $1.15 / $1.54
| Professional | | $0.77 | $1.15 | $1.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $1.98 / $4.84
| Facility | | $1.32 | $1.98 | $4.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.84 / $0.84 / $0.84
| Professional | | $0.84 | $0.84 | $0.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.06 / $1.06 / $2.04
| Facility | | $1.06 | $1.06 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.90 / $0.90 / $0.90
| Professional | | $0.90 | $0.90 | $0.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $80.00 / $85.00
| Facility | | $3.55 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $8.72 / $13.13
| Professional | | $8.72 | $8.72 | $13.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $1.39 / $2.21
| Facility | | $1.15 | $1.39 | $2.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.31 / $1.66 / $1.75
| Professional | | $1.31 | $1.66 | $1.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $2.20 / $3.50
| Professional | | $1.75 | $2.20 | $3.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.17 / $1.41 / $2.25
| Facility | | $1.17 | $1.41 | $2.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.90 / $0.90 / $1.47
| Professional | | $0.90 | $0.90 | $1.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.82 / $1.09
| Professional | | $0.63 | $0.82 | $1.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $1.75 / $2.36
| Professional | | $0.79 | $1.75 | $2.36 |