- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.18 / $24.84 / $124.34
| Facility | | $0.18 | $24.84 | $124.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.30 / $7.05
| Professional | | $0.05 | $0.30 | $7.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.07 / $0.10 / $711.87
| Facility | | $0.07 | $0.10 | $711.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.04 / $0.05 / $8,639.91
| Facility | | $0.04 | $0.05 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.05 / $0.05
| Professional | | $0.05 | $0.05 | $0.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.04 / $0.05 / $0.05
| Facility | | $0.04 | $0.05 | $0.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.05 / $0.05
| Professional | | $0.05 | $0.05 | $0.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.18 / $0.40 / $0.82
| Facility | | $0.18 | $0.40 | $0.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.07 / $0.10 / $711.87
| Facility | | $0.07 | $0.10 | $711.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.16 / $31.73 / $128.55
| Facility | | $0.16 | $31.73 | $128.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.19 / $9.17
| Professional | | $0.05 | $0.19 | $9.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.04 / $0.05 / $0.05
| Facility | | $0.04 | $0.05 | $0.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.05 / $0.05
| Professional | | $0.05 | $0.05 | $0.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.07 / $0.07 / $0.08
| Facility | | $0.07 | $0.07 | $0.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.07 / $0.07 / $0.08
| Professional | | $0.07 | $0.07 | $0.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.05 / $0.09
| Professional | | $0.05 | $0.05 | $0.09 |