- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.61 / $0.74 / $1.34
| Facility | | $0.61 | $0.74 | $1.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $0.82
| Professional | | $0.61 | $0.61 | $0.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $2.38
| Professional | | $0.61 | $0.61 | $2.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.02 / $1.02 / $1.02
| Facility | | $1.02 | $1.02 | $1.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $0.57 / $1.09
| Facility | | $0.57 | $0.57 | $1.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $0.61
| Professional | | $0.61 | $0.61 | $0.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $0.87 / $332.00
| Facility | | $0.57 | $0.87 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $0.66 / $1.61
| Professional | | $0.66 | $0.66 | $1.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $0.63
| Facility | | $0.61 | $0.61 | $0.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.61 / $0.63
| Professional | | $0.61 | $0.61 | $0.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $2.13 / $2.13
| Facility | | $2.13 | $2.13 | $2.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $0.57 / $555.00
| Facility | | $0.57 | $0.57 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.81 / $1.73
| Professional | | $0.61 | $0.81 | $1.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.65 / $0.95
| Professional | | $0.61 | $0.65 | $0.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.63
| Facility | | $0.63 | $0.63 | $0.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.61 / $0.63 / $1.56
| Professional | | $0.61 | $0.63 | $1.56 |