- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.92 / $43.46 / $220.06
| Facility | | $4.92 | $43.46 | $220.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.78 / $6.47
| Professional | | $4.26 | $5.78 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.88 / $4.49
| Professional | | $2.25 | $3.88 | $4.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $20.32 / $38.17
| Facility | | $7.12 | $20.32 | $38.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $5.00 / $5.50
| Professional | | $3.56 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $9.71 / $42.25
| Facility | | $5.82 | $9.71 | $42.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $9.71
| Professional | | $5.18 | $6.47 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $14.23 / $33.04
| Facility | | $4.51 | $14.23 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $4.98 / $10.94
| Professional | | $3.43 | $4.98 | $10.94 |
- 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
- $5.80 / $9.44 / $10.74
| Professional | | $5.80 | $9.44 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $12.51
| Facility | | $5.18 | $6.47 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.47 / $10.57
| Professional | | $5.82 | $6.47 | $10.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.10 / $816.65 / $1,567.00
| Facility | | $485.10 | $816.65 | $1,567.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $16.22
| Facility | | $5.18 | $6.47 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.03 / $9.27
| Professional | | $3.43 | $5.03 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $4.76 / $8.09
| Facility | | $2.25 | $4.76 | $8.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.70 / $5.35
| Professional | | $2.72 | $3.70 | $5.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.19 / $6.47
| Professional | | $2.52 | $3.19 | $6.47 |