- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.95 / $3.51 / $130.38
| Facility | | $0.95 | $3.51 | $130.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $0.96 / $2.08
| Professional | | $0.96 | $0.96 | $2.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $0.96 / $2.38
| Professional | | $0.96 | $0.96 | $2.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.85 / $0.90 / $85.00
| Facility | | $0.85 | $0.90 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $0.96 / $1.12
| Professional | | $0.96 | $0.96 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.04 / $1.35 / $332.00
| Facility | | $1.04 | $1.35 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.88 / $1.04 / $1.04
| Professional | | $0.88 | $1.04 | $1.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.96 / $0.96 / $1.00
| Facility | | $0.96 | $0.96 | $1.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $1.00 / $1.00
| Professional | | $0.96 | $1.00 | $1.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.24 / $0.24 / $0.24
| Professional | | $0.24 | $0.24 | $0.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.37 / $1.80 / $5.29
| Facility | | $1.37 | $1.80 | $5.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.06 / $1.06 / $2.04
| Professional | | $1.06 | $1.06 | $2.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.85 / $0.90 / $85.00
| Facility | | $0.85 | $0.90 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $0.96 / $1.80
| Professional | | $0.96 | $0.96 | $1.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.86 / $0.96 / $1.35
| Professional | | $0.86 | $0.96 | $1.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.35 / $1.00 / $1.00
| Facility | | $0.35 | $1.00 | $1.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.96 / $1.00 / $1.00
| Professional | | $0.96 | $1.00 | $1.00 |