- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.45
| Facility | | $1.45 | $1.45 | $1.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $1.12 / $676.08
| Professional | | $1.10 | $1.12 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.34 / $0.66 / $1.12
| Professional | | $0.34 | $0.66 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.68 / $38.90 / $67.61
| Facility | | $0.68 | $38.90 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.68 / $23.99
| Professional | | $0.56 | $0.68 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.33 / $0.65 / $30.20
| Facility | | $0.33 | $0.65 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $14.13
| Professional | | $14.13 | $14.13 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.33 / $0.65 / $30.20
| Facility | | $0.33 | $0.65 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $0.66 / $0.89
| Professional | | $0.66 | $0.66 | $0.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $54.95 / $85.11
| Professional | | $50.12 | $54.95 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.43 / $0.78 / $1.17
| Professional | | $0.43 | $0.78 | $1.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $100.00
| Facility | | $0.68 | $0.68 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.68
| Professional | | $0.68 | $0.68 | $0.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $1.15
| Professional | | $0.63 | $0.63 | $1.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $0.79 / $0.79
| Facility | | $0.79 | $0.79 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $0.66 / $0.89
| Professional | | $0.66 | $0.66 | $0.89 |