- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.34 / $2.20 / $9.68
| Facility | | $0.34 | $2.20 | $9.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $0.34 / $4.01
| Professional | | $0.08 | $0.34 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $0.09 / $0.22
| Professional | | $0.09 | $0.09 | $0.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.09 / $0.91
| Facility | | $0.09 | $0.09 | $0.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $0.82
| Professional | | $0.82 | $0.82 | $0.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.15 / $332.00
| Facility | | $0.09 | $0.15 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.13 / $0.13 / $0.25
| Professional | | $0.13 | $0.13 | $0.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.09 / $1.47
| Facility | | $0.09 | $0.09 | $1.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $0.09 / $1.47
| Professional | | $0.09 | $0.09 | $1.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.20 / $0.45
| Facility | | $0.09 | $0.20 | $0.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $0.10 / $0.10
| Professional | | $0.10 | $0.10 | $0.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $0.09 / $555.00
| Facility | | $0.09 | $0.09 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.11 / $0.82 / $6.41
| Professional | | $0.11 | $0.82 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $0.10 / $0.32
| Professional | | $0.09 | $0.10 | $0.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.47 / $1.47 / $1.47
| Facility | | $1.47 | $1.47 | $1.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.09 / $1.47 / $1.61
| Professional | | $0.09 | $1.47 | $1.61 |