- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.46 / $24.66 / $49.76
| Facility | | $7.46 | $24.66 | $49.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.65 / $5.78
| Professional | | $4.51 | $4.65 | $5.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $5.78 / $5.78
| Professional | | $5.78 | $5.78 | $5.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $33.90 / $8,639.91
| Facility | | $26.11 | $33.90 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $4.51
| Professional | | $4.51 | $4.51 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $7.57 / $19.55
| Facility | | $3.80 | $7.57 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $6.51 / $8.89
| Professional | | $3.26 | $6.51 | $8.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $4.62 / $7.83
| Professional | | $2.66 | $4.62 | $7.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $18.55 / $33.51
| Facility | | $11.06 | $18.55 | $33.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.66 / $5.00
| Professional | | $3.47 | $4.66 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $23.87 / $48.62
| Facility | | $6.69 | $23.87 | $48.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.68 / $13.65
| Professional | | $4.51 | $4.68 | $13.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.19 / $140.19 / $140.19
| Facility | | $140.19 | $140.19 | $140.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.87 / $7.85 / $19.55
| Facility | | $3.87 | $7.85 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $6.51 / $8.89
| Professional | | $3.26 | $6.51 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $5.78 / $5.78
| Facility | | $5.78 | $5.78 | $5.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.78 / $7.36
| Professional | | $5.09 | $5.78 | $7.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $3.04 / $3.04
| Facility | | $3.04 | $3.04 | $3.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.47 / $10.06
| Professional | | $2.60 | $3.47 | $10.06 |