- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.61 / $1.26 / $56.25
| Facility | | $0.61 | $1.26 | $56.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.62 / $2.49
| Professional | | $0.61 | $0.62 | $2.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.55 / $0.67 / $0.88
| Facility | | $0.55 | $0.67 | $0.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $4.28
| Professional | | $0.61 | $0.61 | $4.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.59 / $1.67 / $2.71
| Facility | | $1.59 | $1.67 | $2.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $0.66 / $1.91
| Professional | | $0.66 | $0.66 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $0.57 / $0.61
| Facility | | $0.57 | $0.57 | $0.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $0.61
| Professional | | $0.61 | $0.61 | $0.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.55 / $0.73 / $1.63
| Professional | | $0.55 | $0.73 | $1.63 |
- 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
- $0.57 / $0.61 / $1.71
| Facility | | $0.57 | $0.61 | $1.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $1.32
| Professional | | $0.61 | $0.61 | $1.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $1.68 / $1.68
| Professional | | $1.68 | $1.68 | $1.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.49 / $0.67 / $1.04
| Professional | | $0.49 | $0.67 | $1.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $2.72 / $2.72
| Facility | | $2.57 | $2.72 | $2.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.65 / $1.67
| Professional | | $0.61 | $0.65 | $1.67 |