- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $20.02 / $66.04
| Facility | | $3.60 | $20.02 | $66.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.13 / $5.70
| Professional | | $3.14 | $4.13 | $5.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.85 / $3.29
| Professional | | $2.14 | $2.85 | $3.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.13 / $15.67 / $28.45
| Facility | | $6.13 | $15.67 | $28.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $4.23 / $5.50
| Professional | | $2.61 | $4.23 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $7.84 / $33.27
| Facility | | $4.51 | $7.84 | $33.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $4.75 / $7.13
| Professional | | $3.56 | $4.75 | $7.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $6.65 / $6.65
| Facility | | $4.75 | $6.65 | $6.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $10.44 / $23.80
| Facility | | $3.68 | $10.44 | $23.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $5.20 / $9.72
| Professional | | $2.52 | $5.20 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $7.09 / $8.05
| Professional | | $4.28 | $7.09 | $8.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $4.75 / $9.18
| Facility | | $3.80 | $4.75 | $9.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.75 / $7.85
| Professional | | $4.28 | $4.75 | $7.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.50 / $62.27 / $123.26
| Facility | | $45.50 | $62.27 | $123.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $4.75 / $11.95
| Facility | | $3.81 | $4.75 | $11.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $4.75 / $6.80
| Professional | | $2.52 | $4.75 | $6.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.88 / $4.75
| Professional | | $2.85 | $3.88 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.34 / $4.75
| Professional | | $2.34 | $2.34 | $4.75 |