- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.70 / $114.82
| Facility | | $1.12 | $1.70 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.70 / $3.47
| Professional | | $1.00 | $1.70 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $0.71 / $0.71
| Facility | | $0.71 | $0.71 | $0.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.76
| Professional | | $0.56 | $0.56 | $0.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $1.82 / $3.16
| Facility | | $0.56 | $1.82 | $3.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.71 / $1.05
| Professional | | $0.56 | $0.71 | $1.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $0.79 / $1.66
| Facility | | $0.79 | $0.79 | $1.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.58 / $1.58
| Professional | | $1.07 | $1.58 | $1.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.81 / $0.81 / $2.14
| Facility | | $0.81 | $0.81 | $2.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $0.81 / $1.58
| Professional | | $0.81 | $0.81 | $1.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $85.11
| Professional | | $64.57 | $64.57 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.85 / $2.34
| Professional | | $0.56 | $0.85 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $100.00
| Facility | | $0.56 | $0.56 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.56
| Professional | | $0.56 | $0.56 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.15 / $1.15 / $2.40
| Professional | | $1.15 | $1.15 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Facility | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.91
| Professional | | $0.56 | $0.56 | $0.91 |