- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.49 / $4.72 / $5.55
| Facility | | $2.49 | $4.72 | $5.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.50 / $5.69
| Professional | | $2.43 | $2.50 | $5.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $4.50 / $5.42
| Facility | | $3.04 | $4.50 | $5.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.43 / $3.08
| Professional | | $2.43 | $2.43 | $3.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $3.33 / $3.89
| Facility | | $3.33 | $3.33 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.43 / $5.72 / $8.17
| Facility | | $2.43 | $5.72 | $8.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.41 / $3.88
| Professional | | $2.43 | $3.41 | $3.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.99 / $2.42 / $5.70
| Facility | | $1.99 | $2.42 | $5.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.86 / $4.86
| Professional | | $3.63 | $4.86 | $4.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.99 / $2.42 / $4.99
| Facility | | $1.99 | $2.42 | $4.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $2.42 / $4.86
| Professional | | $2.42 | $2.42 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $65.00 / $85.00
| Professional | | $2.31 | $65.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.99 / $2.42 / $5.70
| Facility | | $1.99 | $2.42 | $5.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.86 / $4.86
| Professional | | $3.63 | $4.86 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.75 / $7.00
| Professional | | $2.43 | $2.75 | $7.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $85.00 / $85.00
| Facility | | $85.00 | $85.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.43 / $2.43
| Professional | | $2.43 | $2.43 | $2.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.41 / $3.48
| Professional | | $2.52 | $3.41 | $3.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.43 / $3.33
| Professional | | $2.43 | $2.43 | $3.33 |