- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $16.75 / $37.93
| Facility | | $3.92 | $16.75 | $37.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $2.72 / $4.23
| Professional | | $2.61 | $2.72 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $1.82
| Professional | | $1.82 | $1.82 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.99 / $8.77 / $293.00
| Facility | | $3.99 | $8.77 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.40 / $6.86
| Professional | | $1.48 | $2.40 | $6.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $26.61 / $55.43
| Facility | | $8.00 | $26.61 | $55.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.66 / $17.47
| Professional | | $1.86 | $2.66 | $17.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $4.79 / $11.93
| Facility | | $2.37 | $4.79 | $11.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $4.13 / $6.15
| Professional | | $2.12 | $4.13 | $6.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $3.64 / $5.82
| Professional | | $1.41 | $3.64 | $5.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $3.64 / $8.01
| Professional | | $2.91 | $3.64 | $8.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.26 / $60.00 / $60.00
| Facility | | $42.26 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.18 / $2.18
| Professional | | $2.18 | $2.18 | $2.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $3.82 / $9.84
| Facility | | $2.54 | $3.82 | $9.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.64 / $6.44
| Professional | | $2.13 | $3.64 | $6.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $12.77 / $12.77
| Professional | | $12.77 | $12.77 | $12.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $3.28 / $5.09
| Professional | | $1.41 | $3.28 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.53 / $3.64 / $3.64
| Facility | | $1.53 | $3.64 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $1.80 / $5.99
| Professional | | $1.53 | $1.80 | $5.99 |