- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.23 / $0.30 / $0.34
| Facility | | $0.23 | $0.30 | $0.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.23 / $0.30 / $0.40
| Professional | | $0.23 | $0.30 | $0.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.22 / $0.24 / $0.24
| Facility | | $0.22 | $0.24 | $0.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.22 / $0.22 / $0.24
| Professional | | $0.22 | $0.22 | $0.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.45 / $0.45 / $0.45
| Facility | | $0.45 | $0.45 | $0.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.27 / $0.27 / $0.27
| Facility | | $0.27 | $0.27 | $0.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.23 / $0.23 / $0.28
| Professional | | $0.23 | $0.23 | $0.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $3.54 / $3.68
| Professional | | $3.38 | $3.54 | $3.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.13 / $0.34 / $0.45
| Facility | | $0.13 | $0.34 | $0.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.28 / $0.41 / $0.45
| Professional | | $0.28 | $0.41 | $0.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.13 / $0.33 / $0.45
| Facility | | $0.13 | $0.33 | $0.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.23 / $0.23 / $0.38
| Professional | | $0.23 | $0.23 | $0.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.16 / $0.20 / $0.30
| Facility | | $0.16 | $0.20 | $0.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.16 / $0.22 / $0.28
| Professional | | $0.16 | $0.22 | $0.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.31 / $0.31 / $0.45
| Professional | | $0.31 | $0.31 | $0.45 |