- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.36 / $0.36 / $0.80
| Facility | | $0.36 | $0.36 | $0.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.36 / $0.36 / $0.45
| Professional | | $0.36 | $0.36 | $0.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.84 / $10.51
| Professional | | $3.06 | $4.84 | $10.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.43 / $8.11 / $11.49
| Facility | | $4.43 | $8.11 | $11.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $5.01 / $5.69
| Professional | | $3.48 | $5.01 | $5.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.36 / $3.35 / $6.41
| Facility | | $0.36 | $3.35 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.14 / $2.14
| Professional | | $2.14 | $2.14 | $2.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.36 / $3.35 / $6.41
| Facility | | $0.36 | $3.35 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $4.25 / $5.53
| Professional | | $4.25 | $4.25 | $5.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $55.00 / $85.00
| Professional | | $10.67 | $55.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.36 / $3.35 / $6.41
| Facility | | $0.36 | $3.35 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.14 / $2.14
| Professional | | $2.14 | $2.14 | $2.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.94 / $9.74
| Professional | | $4.86 | $6.94 | $9.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.00 / $95.00 / $95.00
| Facility | | $95.00 | $95.00 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $5.63 / $10.29
| Professional | | $5.63 | $5.63 | $10.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $4.25 / $5.82
| Professional | | $4.25 | $4.25 | $5.82 |