- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.34 / $1.63 / $2.68
| Facility | | $1.34 | $1.63 | $2.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.81
| Professional | | $1.40 | $1.40 | $1.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.12 / $1.40
| Facility | | $1.12 | $1.12 | $1.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.40 / $1.98
| Professional | | $1.30 | $1.40 | $1.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $1.23
| Facility | | $1.17 | $1.17 | $1.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $1.17
| Professional | | $1.17 | $1.17 | $1.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.32 / $1.40
| Facility | | $1.23 | $1.32 | $1.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.40
| Professional | | $1.40 | $1.40 | $1.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $1.98 / $332.00
| Facility | | $1.32 | $1.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $2.22
| Professional | | $1.45 | $1.45 | $2.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.42
| Facility | | $1.40 | $1.40 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $1.42
| Professional | | $1.40 | $1.40 | $1.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.23 / $1.32 / $555.00
| Facility | | $1.23 | $1.32 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.34 / $1.40 / $1.91
| Professional | | $1.34 | $1.40 | $1.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.40 / $2.09
| Professional | | $1.40 | $1.40 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.42
| Facility | | $1.42 | $1.42 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $1.40 / $1.42
| Professional | | $0.96 | $1.40 | $1.42 |