- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $48.71 / $99.96
| Facility | | $3.94 | $48.71 | $99.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $1.96 / $3.08
| Professional | | $1.46 | $1.96 | $3.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.08 / $1.35 / $2.25
| Professional | | $1.08 | $1.35 | $2.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.57 / $5.57 / $11.90
| Facility | | $1.57 | $5.57 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $2.99 / $5.50
| Professional | | $1.28 | $2.99 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $3.33 / $15.76
| Facility | | $1.58 | $3.33 | $15.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.36 / $3.83
| Professional | | $1.80 | $2.36 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.23 / $2.23 / $2.25
| Facility | | $2.23 | $2.23 | $2.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $4.79 / $11.90
| Facility | | $1.74 | $4.79 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $2.47 / $3.83
| Professional | | $1.29 | $2.47 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.79 / $60.00 / $60.00
| Facility | | $21.79 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.06 / $4.05
| Professional | | $2.00 | $3.06 | $4.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.25 / $97.51
| Facility | | $1.91 | $2.25 | $97.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.25 / $4.50
| Professional | | $2.02 | $2.25 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.80 / $2.25 / $5.65
| Facility | | $1.80 | $2.25 | $5.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.33 / $3.59
| Professional | | $1.40 | $2.33 | $3.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $2.25 / $3.70
| Facility | | $1.35 | $2.25 | $3.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.84 / $2.25
| Professional | | $1.35 | $1.84 | $2.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.11 / $2.25
| Professional | | $1.11 | $1.11 | $2.25 |