- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $54.13 / $175.50
| Facility | | $9.06 | $54.13 | $175.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $4.73 / $6.95
| Professional | | $2.36 | $4.73 | $6.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $3.62 / $4.62
| Professional | | $1.78 | $3.62 | $4.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.52 / $18.78 / $35.39
| Facility | | $6.52 | $18.78 | $35.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $5.00 / $5.50
| Professional | | $3.32 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.58 / $9.66 / $72.11
| Facility | | $5.58 | $9.66 | $72.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $5.90 / $9.66
| Professional | | $4.53 | $5.90 | $9.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.04 / $6.04 / $6.04
| Facility | | $6.04 | $6.04 | $6.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $13.28 / $30.41
| Facility | | $4.22 | $13.28 | $30.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $5.05 / $10.73
| Professional | | $3.50 | $5.05 | $10.73 |
- 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
- $5.44 / $8.86 / $10.19
| Professional | | $5.44 | $8.86 | $10.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.83 / $6.04 / $60.20
| Facility | | $4.83 | $6.04 | $60.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $6.04 / $7.87
| Professional | | $5.44 | $6.04 | $7.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.86 / $135.13 / $1,175.25
| Facility | | $99.86 | $135.13 | $1,175.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.83 / $6.04 / $15.03
| Facility | | $4.83 | $6.04 | $15.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $5.44 / $9.77
| Professional | | $3.20 | $5.44 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $6.04 / $9.94
| Facility | | $3.63 | $6.04 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.45 / $4.93
| Professional | | $2.54 | $3.45 | $4.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $2.98 / $6.04
| Professional | | $2.36 | $2.98 | $6.04 |