- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.74 / $0.85 / $0.99
| Facility | | $0.74 | $0.85 | $0.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.74 / $0.85 / $0.94
| Professional | | $0.74 | $0.85 | $0.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.23 / $2.46
| Facility | | $1.23 | $1.23 | $2.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $1.22 / $2.02
| Professional | | $1.12 | $1.22 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.41
| Facility | | $1.38 | $1.38 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.38
| Professional | | $1.38 | $1.38 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $0.72 / $0.72
| Professional | | $0.72 | $0.72 | $0.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $2.58 / $332.00
| Facility | | $1.23 | $2.58 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.48 / $3.42
| Professional | | $1.23 | $1.48 | $3.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.11 / $1.11 / $1.35
| Facility | | $1.11 | $1.11 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.34 / $1.44
| Professional | | $1.11 | $1.34 | $1.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $597.00 / $74,999.25
| Facility | | $555.00 | $597.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $0.74 / $2.43
| Professional | | $0.72 | $0.74 | $2.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.47 / $1.54 / $2.27
| Professional | | $0.47 | $1.54 | $2.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $1.35 / $1.35
| Facility | | $1.22 | $1.35 | $1.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.34 / $1.44
| Professional | | $1.11 | $1.34 | $1.44 |