- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.29 / $2.04
| Facility | | $1.23 | $1.29 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $1.26 / $3.02
| Professional | | $1.05 | $1.26 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $0.83 / $1.58
| Facility | | $0.66 | $0.83 | $1.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.83 / $4.37
| Professional | | $0.79 | $0.83 | $4.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $2.63 / $3.16
| Facility | | $2.19 | $2.63 | $3.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.62 / $0.79 / $3.47
| Professional | | $0.62 | $0.79 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.62
| Facility | | $0.56 | $0.56 | $0.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.62 / $0.62 / $0.62
| Professional | | $0.62 | $0.62 | $0.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.55 / $0.68 / $1.32
| Professional | | $0.55 | $0.68 | $1.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $85.11 / $85.11
| Facility | | $85.11 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $5.62
| Professional | | $5.62 | $5.62 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $1.55 / $2.45
| Facility | | $0.87 | $1.55 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $1.23
| Professional | | $1.00 | $1.00 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $1.12 / $1.74
| Professional | | $0.81 | $1.12 | $1.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.62 / $4.79 / $4.79
| Facility | | $0.62 | $4.79 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.62 / $0.62 / $1.86
| Professional | | $0.62 | $0.62 | $1.86 |