- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $1.73 / $1.86
| Facility | | $1.70 | $1.73 | $1.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $1.92 / $7.97
| Professional | | $1.61 | $1.92 | $7.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.97 / $3.50
| Professional | | $1.40 | $1.97 | $3.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $4.88
| Facility | | $2.17 | $2.17 | $4.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $2.17
| Professional | | $2.17 | $2.17 | $2.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $3.08 / $3.08
| Facility | | $3.08 | $3.08 | $3.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.08 / $1.08 / $1.08
| Professional | | $1.08 | $1.08 | $1.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.84 / $90.00 / $90.00
| Facility | | $19.84 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.00 / $167.85 / $174.56
| Professional | | $92.00 | $167.85 | $174.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $2.63 / $35.40
| Facility | | $1.75 | $2.63 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $2.50 / $3.02
| Professional | | $2.24 | $2.50 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $2.95 / $6.03
| Professional | | $2.58 | $2.95 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $2.63 / $35.40
| Facility | | $1.75 | $2.63 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.08 / $1.08 / $2.19
| Professional | | $1.08 | $1.08 | $2.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.93 / $1.24 / $1.82
| Professional | | $0.93 | $1.24 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $2.63 / $3.55
| Professional | | $2.63 | $2.63 | $3.55 |