- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $18.62 / $102.33
| Facility | | $6.92 | $18.62 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.17 / $21.88
| Professional | | $4.79 | $6.17 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $1.86 / $3.09
| Professional | | $1.86 | $1.86 | $3.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $17.78
| Facility | | $6.92 | $6.92 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.39 / $15.49
| Professional | | $3.39 | $3.39 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $6.92 / $6.92
| Facility | | $4.17 | $6.92 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.92 / $6.92
| Professional | | $5.01 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $14.79 / $63.10
| Facility | | $5.25 | $14.79 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $8.13 / $45.71
| Professional | | $4.47 | $8.13 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $8.91 / $22.39
| Facility | | $5.50 | $8.91 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.79 / $13.49
| Professional | | $3.24 | $4.79 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $5.75
| Facility | | $5.75 | $5.75 | $5.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.76 / $8.51
| Professional | | $5.75 | $6.76 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $17.38 / $44.67
| Facility | | $5.50 | $17.38 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $4.57 / $4.57
| Professional | | $4.57 | $4.57 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $12.59 / $50,118.72
| Facility | | $7.59 | $12.59 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $6.17 / $8.71
| Facility | | $2.88 | $6.17 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.17 / $10.47
| Professional | | $2.88 | $4.17 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $5.89 / $15.49
| Facility | | $5.75 | $5.89 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.92 / $19.50
| Professional | | $5.75 | $6.92 | $19.50 |