- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.45 / $0.99 / $1.54
| Facility | | $0.45 | $0.99 | $1.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.45 / $0.46 / $1.31
| Professional | | $0.45 | $0.46 | $1.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.48 / $0.59 / $0.77
| Facility | | $0.48 | $0.59 | $0.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.45 / $0.66 / $1.86
| Professional | | $0.45 | $0.66 | $1.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $0.87 / $1.20
| Facility | | $0.87 | $0.87 | $1.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.46 / $0.46 / $1.31
| Professional | | $0.46 | $0.46 | $1.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.43 / $0.43 / $0.45
| Facility | | $0.43 | $0.43 | $0.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.45 / $0.45 / $0.45
| Professional | | $0.45 | $0.45 | $0.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.41 / $0.54 / $1.04
| Professional | | $0.41 | $0.54 | $1.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.43 / $0.45 / $0.66
| Facility | | $0.43 | $0.45 | $0.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.45 / $0.45 / $0.97
| Professional | | $0.45 | $0.45 | $0.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.88 / $0.88 / $0.88
| Professional | | $0.88 | $0.88 | $0.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.36 / $0.50 / $0.77
| Professional | | $0.36 | $0.50 | $0.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.45 / $0.45 / $1.23
| Professional | | $0.45 | $0.45 | $1.23 |