- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $19.95 / $131.83
| Facility | | $6.61 | $19.95 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.76 / $22.91
| Professional | | $5.01 | $6.76 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $6.46
| Professional | | $6.46 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $19.50
| Facility | | $7.59 | $7.59 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $4.47 / $19.50
| Professional | | $3.72 | $4.47 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $7.59 / $7.59
| Facility | | $4.47 | $7.59 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.59 / $7.59
| Professional | | $5.50 | $7.59 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $16.22 / $81.28
| Facility | | $5.75 | $16.22 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $10.47 / $54.95
| Professional | | $5.89 | $10.47 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $12.02 / $26.92
| Facility | | $8.13 | $12.02 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.47 / $14.45
| Professional | | $3.02 | $4.47 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $2.04 / $2.04
| Facility | | $2.04 | $2.04 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $7.08 / $10.00
| Professional | | $2.04 | $7.08 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $18.62 / $34.67
| Facility | | $5.25 | $18.62 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $13.49 / $50,118.72
| Facility | | $4.37 | $13.49 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $6.76 / $9.12
| Facility | | $3.16 | $6.76 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.47 / $11.48
| Professional | | $3.16 | $4.47 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $3.72 / $18.20
| Facility | | $2.04 | $3.72 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $7.59 / $23.99
| Professional | | $2.04 | $7.59 | $23.99 |