- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.63 / $1.01 / $582.47
| Facility | | $0.63 | $1.01 | $582.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.64 / $0.94
| Professional | | $0.63 | $0.64 | $0.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.50 / $0.50 / $0.63
| Facility | | $0.50 | $0.50 | $0.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $3.87
| Professional | | $0.63 | $0.63 | $3.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $0.59 / $1.76
| Facility | | $0.59 | $0.59 | $1.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.63
| Professional | | $0.63 | $0.63 | $0.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.68 / $0.97 / $332.00
| Facility | | $0.68 | $0.97 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.68 / $0.83
| Professional | | $0.65 | $0.68 | $0.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.65
| Facility | | $0.63 | $0.63 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.65 / $0.65
| Professional | | $0.63 | $0.65 | $0.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $1.65 / $1.82
| Facility | | $0.87 | $1.65 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $0.63 / $555.00
| Facility | | $0.59 | $0.63 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.95
| Professional | | $0.63 | $0.63 | $0.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.66 / $0.95
| Professional | | $0.63 | $0.66 | $0.95 |
- 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
- $0.63 / $0.65 / $0.65
| Professional | | $0.63 | $0.65 | $0.65 |