- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $27.61 / $44.81
| Facility | | $6.61 | $27.61 | $44.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.82 / $7.49
| Professional | | $5.01 | $5.82 | $7.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $3.88 / $4.76
| Professional | | $3.88 | $3.88 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.96 / $86.96 / $86.96
| Facility | | $86.96 | $86.96 | $86.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.64 / $42.38 / $8,639.91
| Facility | | $32.64 | $42.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $8.63 / $21.73
| Facility | | $4.47 | $8.63 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.82 / $8.76
| Professional | | $2.98 | $3.82 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $13.83 / $36.40
| Facility | | $8.52 | $13.83 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $6.00 / $6.60
| Professional | | $3.88 | $6.00 | $6.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.96 / $86.96 / $110.17
| Facility | | $86.96 | $86.96 | $110.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $18.44 / $62.15
| Facility | | $5.50 | $18.44 | $62.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.82 / $8.88
| Professional | | $4.84 | $5.82 | $8.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.61 / $984.70 / $1,238.82
| Facility | | $819.61 | $984.70 | $1,238.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $9.83 / $21.73
| Facility | | $4.34 | $9.83 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $6.47 / $9.22
| Professional | | $5.69 | $6.47 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $3.24 / $4.43
| Facility | | $2.59 | $3.24 | $4.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.21 / $11.84
| Professional | | $2.72 | $4.21 | $11.84 |