- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $16.17 / $22.55
| Facility | | $3.60 | $16.17 | $22.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $3.76 / $9.27
| Professional | | $2.91 | $3.76 | $9.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $2.12 / $2.12
| Professional | | $2.12 | $2.12 | $2.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.91 / $7.32 / $251.40
| Facility | | $2.91 | $7.32 | $251.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $2.75
| Professional | | $2.75 | $2.75 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.41 / $21.30 / $8,639.91
| Facility | | $16.41 | $21.30 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.30 / $3.30
| Professional | | $3.30 | $3.30 | $3.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $5.50 / $14.13
| Facility | | $2.78 | $5.50 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $4.59 / $6.20
| Professional | | $2.02 | $4.59 | $6.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.50 / $5.73
| Professional | | $1.95 | $2.50 | $5.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.68 / $13.19 / $26.40
| Facility | | $6.68 | $13.19 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.41 / $6.56 / $15.46
| Facility | | $3.41 | $6.56 | $15.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $2.75
| Professional | | $2.75 | $2.75 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $14.04 / $24.29
| Facility | | $3.60 | $14.04 | $24.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.36 / $14.08
| Professional | | $3.06 | $4.36 | $14.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $5.63 / $14.13
| Facility | | $2.83 | $5.63 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $4.59 / $6.20
| Professional | | $2.02 | $4.59 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.23 / $4.23 / $4.23
| Facility | | $4.23 | $4.23 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $4.23 / $4.23
| Professional | | $3.72 | $4.23 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $4.23 / $7.20
| Professional | | $2.54 | $4.23 | $7.20 |