- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $1.64 / $3.41
| Facility | | $0.79 | $1.64 | $3.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.83 / $3.41
| Professional | | $0.79 | $0.83 | $3.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.74 / $0.88 / $1.13
| Facility | | $0.74 | $0.88 | $1.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.82 / $3.92
| Professional | | $0.79 | $0.82 | $3.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $2.43 / $4.29
| Facility | | $2.24 | $2.43 | $4.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.82 / $0.82 / $2.38
| Professional | | $0.82 | $0.82 | $2.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.74 / $0.74 / $0.79
| Facility | | $0.74 | $0.74 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.79 / $0.79
| Professional | | $0.79 | $0.79 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $0.95 / $2.11
| Professional | | $0.71 | $0.95 | $2.11 |
- 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
- $0.74 / $0.79 / $1.12
| Facility | | $0.74 | $0.79 | $1.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.79 / $1.71
| Professional | | $0.79 | $0.79 | $1.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $2.31 / $2.31
| Professional | | $2.31 | $2.31 | $2.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.87 / $1.34
| Professional | | $0.63 | $0.87 | $1.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.36 / $3.53 / $3.53
| Facility | | $3.36 | $3.53 | $3.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.79 / $0.79 / $2.02
| Professional | | $0.79 | $0.79 | $2.02 |