- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.96 / $17.28 / $49.26
| Facility | | $6.96 | $17.28 | $49.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $3.28 / $4.24
| Professional | | $3.13 | $3.28 | $4.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $4.00
| Professional | | $4.00 | $4.00 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $4.98 / $501.97
| Facility | | $1.98 | $4.98 | $501.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.48 / $24.00 / $8,639.91
| Facility | | $18.48 | $24.00 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $3.12 / $3.12
| Professional | | $3.12 | $3.12 | $3.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $5.33 / $13.04
| Facility | | $2.63 | $5.33 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.59 / $6.35
| Professional | | $2.33 | $4.59 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $3.20 / $5.42
| Professional | | $1.84 | $3.20 | $5.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.29 / $16.85 / $42.71
| Facility | | $6.29 | $16.85 | $42.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $3.68 / $3.85
| Professional | | $3.68 | $3.68 | $3.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $4.74 / $10.51
| Facility | | $2.31 | $4.74 | $10.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $16.52 / $49.63
| Facility | | $5.00 | $16.52 | $49.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.31 / $16.52
| Professional | | $3.00 | $3.31 | $16.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.68 / $5.56 / $13.04
| Facility | | $2.68 | $5.56 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.59 / $6.35
| Professional | | $2.33 | $4.59 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $4.76 / $4.76
| Professional | | $4.76 | $4.76 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.15 / $2.15 / $2.15
| Facility | | $2.15 | $2.15 | $2.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.48 / $6.96
| Professional | | $1.80 | $2.48 | $6.96 |