- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.43 / $34.65 / $76.59
| Facility | | $2.43 | $34.65 | $76.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $1.17 / $3.52
| Professional | | $0.76 | $1.17 | $3.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.95 / $0.95 / $0.95
| Facility | | $0.95 | $0.95 | $0.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.76 / $0.96
| Professional | | $0.76 | $0.76 | $0.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.05 / $1.05 / $1.22
| Facility | | $1.05 | $1.05 | $1.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.76 / $1.79 / $2.54
| Facility | | $0.76 | $1.79 | $2.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.70 / $1.24 / $1.41
| Professional | | $0.70 | $1.24 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $0.90 / $1.42
| Facility | | $0.66 | $0.90 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.54 / $1.52 / $1.52
| Professional | | $0.54 | $1.52 | $1.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $33.18 / $59.76
| Facility | | $1.51 | $33.18 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.90 / $1.00 / $1.52
| Professional | | $0.90 | $1.00 | $1.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $65.00 / $85.00
| Professional | | $0.66 | $65.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.66 / $0.90 / $1.42
| Facility | | $0.66 | $0.90 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.54 / $1.52 / $1.52
| Professional | | $0.54 | $1.52 | $1.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $1.02 / $2.16
| Professional | | $0.75 | $1.02 | $2.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.76 / $0.76
| Professional | | $0.76 | $0.76 | $0.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $1.07 / $1.09
| Professional | | $0.68 | $1.07 | $1.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.76 / $0.85 / $1.12
| Professional | | $0.76 | $0.85 | $1.12 |