- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $57.04 / $182.81
| Facility | | $8.83 | $57.04 | $182.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.92 / $4.74
| Professional | | $2.37 | $3.92 | $4.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.84 / $4.74
| Professional | | $1.66 | $2.84 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $14.27 / $27.73
| Facility | | $5.55 | $14.27 | $27.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $4.74 / $5.50
| Professional | | $2.61 | $4.74 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $7.35 / $35.08
| Facility | | $4.38 | $7.35 | $35.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $4.67 / $7.58
| Professional | | $3.56 | $4.67 | $7.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.74 / $4.74 / $4.74
| Facility | | $4.74 | $4.74 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $10.48 / $23.80
| Facility | | $3.32 | $10.48 | $23.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $3.98 / $8.47
| Professional | | $2.76 | $3.98 | $8.47 |
- 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
- $4.26 / $6.12 / $8.86
| Professional | | $4.26 | $6.12 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $4.74 / $47.60
| Facility | | $3.79 | $4.74 | $47.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $4.74 / $6.40
| Professional | | $4.26 | $4.74 | $6.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.00 / $109.02 / $1,184.39
| Facility | | $77.00 | $109.02 | $1,184.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $4.74 / $11.93
| Facility | | $3.79 | $4.74 | $11.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $4.65 / $7.77
| Professional | | $2.76 | $4.65 | $7.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.66 / $3.52 / $5.93
| Facility | | $1.66 | $3.52 | $5.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.99 / $2.71 / $3.92
| Professional | | $1.99 | $2.71 | $3.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.34 / $4.74
| Professional | | $1.85 | $2.34 | $4.74 |