- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $28.61 / $67.90
| Facility | | $8.02 | $28.61 | $67.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $5.75 / $7.60
| Professional | | $5.35 | $5.75 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.97 / $6.61
| Professional | | $3.31 | $3.97 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $28.73 / $816.07
| Facility | | $10.27 | $28.73 | $816.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.33 / $43.28 / $8,639.91
| Facility | | $33.33 | $43.28 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $5.16 / $5.16
| Professional | | $5.16 | $5.16 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $8.81 / $21.73
| Facility | | $4.34 | $8.81 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $7.65 / $11.42
| Professional | | $4.19 | $7.65 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $5.29 / $8.94
| Professional | | $3.04 | $5.29 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $17.35 / $52.07
| Facility | | $9.14 | $17.35 | $52.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.24 / $6.50
| Professional | | $3.97 | $5.24 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $27.16 / $63.69
| Facility | | $7.60 | $27.16 | $63.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.81 / $26.24 / $76.80
| Facility | | $6.81 | $26.24 | $76.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $5.77 / $27.30
| Professional | | $4.95 | $5.77 | $27.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.43 / $10.01 / $21.73
| Facility | | $4.43 | $10.01 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $7.65 / $11.42
| Professional | | $4.19 | $7.65 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $6.61
| Facility | | $6.61 | $6.61 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.61 / $9.40
| Professional | | $5.82 | $6.61 | $9.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $4.34 / $12.10
| Professional | | $2.97 | $4.34 | $12.10 |