- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $28.18 / $67.61
| Facility | | $4.57 | $28.18 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.88 / $19.50
| Professional | | $2.04 | $2.88 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $4.47 / $60.26
| Facility | | $2.88 | $4.47 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.16 / $6.61
| Professional | | $2.63 | $3.16 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $7.94 / $12.59
| Facility | | $6.31 | $7.94 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $3.98
| Professional | | $2.95 | $2.95 | $3.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $5.01 / $12.30
| Facility | | $2.45 | $5.01 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.72 / $5.50
| Professional | | $2.34 | $3.72 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $3,630.78 / $9,772.37
| Facility | | $4.57 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $5.50
| Professional | | $4.68 | $4.68 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.16 / $9.55
| Professional | | $3.16 | $3.16 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $5.25 / $60.26
| Facility | | $3.89 | $5.25 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $4.47 / $60.26
| Facility | | $2.88 | $4.47 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.16 / $6.61
| Professional | | $2.63 | $3.16 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $3.63 / $7.24
| Facility | | $2.82 | $3.63 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $3.24 / $4.79
| Professional | | $2.82 | $3.24 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $3.16 / $5.13
| Facility | | $1.58 | $3.16 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $3.16 / $7.59
| Professional | | $1.91 | $3.16 | $7.59 |