- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $6.36 / $42.40
| Facility | | $1.60 | $6.36 | $42.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.76 / $1.44
| Professional | | $0.76 | $0.76 | $1.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $1.75 / $3.48
| Facility | | $0.71 | $1.75 | $3.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.39 / $0.39 / $0.39
| Professional | | $0.39 | $0.39 | $0.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.90 / $1.45 / $13.98
| Facility | | $0.90 | $1.45 | $13.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $1.22 / $1.50
| Professional | | $0.76 | $1.22 | $1.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Facility | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $0.76 / $0.76
| Facility | | $0.71 | $0.76 | $0.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.76 / $0.76
| Professional | | $0.76 | $0.76 | $0.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.05 / $12.83 / $40.02
| Facility | | $1.05 | $12.83 | $40.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.76 / $1.32
| Professional | | $0.61 | $0.76 | $1.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $0.76 / $1.09
| Facility | | $0.71 | $0.76 | $1.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.76 / $1.17
| Professional | | $0.68 | $0.76 | $1.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.85 / $0.85
| Professional | | $0.76 | $0.85 | $0.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.73 / $0.73 / $1.03
| Professional | | $0.73 | $0.73 | $1.03 |