- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $9.77 / $52.48
| Facility | | $3.16 | $9.77 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $2.29 / $13.80
| Professional | | $1.20 | $2.29 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $1.55 / $95.50
| Professional | | $1.12 | $1.55 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $15.85 / $5,011.87
| Facility | | $11.75 | $15.85 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $7.76
| Professional | | $1.78 | $1.78 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $3.47 / $7.76
| Facility | | $1.51 | $3.47 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.45 / $3.80
| Professional | | $1.41 | $2.45 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $2.04 / $3.24
| Professional | | $1.07 | $2.04 | $3.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $2.24
| Facility | | $2.24 | $2.24 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $2.51 / $3.89
| Professional | | $2.19 | $2.51 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $6.31 / $19.95
| Facility | | $3.31 | $6.31 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.19 / $4.57
| Professional | | $1.48 | $2.19 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $9.55 / $20.89
| Facility | | $2.45 | $9.55 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.45
| Professional | | $1.45 | $1.45 | $1.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $10.72 / $53.70
| Facility | | $2.88 | $10.72 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $2.69 / $13.18
| Professional | | $1.17 | $2.69 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $4.27
| Facility | | $4.27 | $4.27 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.27 / $4.27
| Professional | | $3.16 | $4.27 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $2.24 / $2.69
| Facility | | $1.51 | $2.24 | $2.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $2.24 / $3.80
| Professional | | $1.26 | $2.24 | $3.80 |