- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $60.73 / $150.41
| Facility | | $5.11 | $60.73 | $150.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.47 / $4.74
| Professional | | $2.35 | $3.47 | $4.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.63 / $3.02
| Professional | | $1.90 | $2.63 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $12.20 / $23.18
| Facility | | $4.26 | $12.20 | $23.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.95 / $5.50
| Professional | | $2.17 | $3.95 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.65 / $6.32 / $56.26
| Facility | | $3.65 | $6.32 | $56.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $3.67 / $5.93
| Professional | | $2.96 | $3.67 | $5.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $23.46 / $23.46
| Facility | | $3.95 | $23.46 | $23.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $8.52 / $19.82
| Facility | | $2.76 | $8.52 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $4.33 / $6.77
| Professional | | $2.21 | $4.33 | $6.77 |
- 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
- $3.49 / $5.67 / $6.44
| Professional | | $3.49 | $5.67 | $6.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $3.95 / $48.00
| Facility | | $3.16 | $3.95 | $48.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $3.95 / $6.57
| Professional | | $3.56 | $3.95 | $6.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,343.60 / $3,169.04 / $5,249.97
| Facility | | $1,343.60 | $3,169.04 | $5,249.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $3.95 / $9.83
| Facility | | $3.16 | $3.95 | $9.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.95 / $6.33
| Professional | | $2.37 | $3.95 | $6.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.25 / $3.27
| Professional | | $1.66 | $2.25 | $3.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $1.95 / $3.95
| Professional | | $1.95 | $1.95 | $3.95 |