- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.87 / $31.86 / $55.55
| Facility | | $10.87 | $31.86 | $55.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $6.43 / $8.41
| Professional | | $5.62 | $6.43 | $8.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $4.32 / $11.88
| Professional | | $4.32 | $4.32 | $11.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $5.32 / $173.95
| Facility | | $1.98 | $5.32 | $173.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $47.14 / $8,639.91
| Facility | | $36.29 | $47.14 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $23.24
| Professional | | $5.62 | $5.62 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.73 / $9.59 / $23.91
| Facility | | $4.73 | $9.59 | $23.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $8.26 / $12.69
| Professional | | $4.50 | $8.26 | $12.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.08 / $9.75
| Professional | | $3.31 | $5.08 | $9.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $19.82 / $44.34
| Facility | | $10.18 | $19.82 | $44.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.00 / $8.77
| Professional | | $4.76 | $7.00 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $4.98 / $10.51
| Facility | | $2.31 | $4.98 | $10.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.57 / $29.65 / $64.61
| Facility | | $7.57 | $29.65 | $64.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.48 / $17.01
| Professional | | $5.33 | $6.48 | $17.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.04 / $819.61 / $1,006.67
| Facility | | $783.04 | $819.61 | $1,006.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.82 / $10.94 / $23.91
| Facility | | $4.82 | $10.94 | $23.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $8.02 / $12.69
| Professional | | $4.50 | $8.02 | $12.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $10.25 / $10.25
| Professional | | $10.25 | $10.25 | $10.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.46 / $13.68
| Professional | | $3.02 | $4.46 | $13.68 |