- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $13.50 / $31.38
| Facility | | $3.51 | $13.50 | $31.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $2.14 / $4.55
| Professional | | $1.94 | $2.14 | $4.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.19 / $1.42 / $2.37
| Professional | | $1.19 | $1.42 | $2.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.99 / $8.77 / $213.21
| Facility | | $2.99 | $8.77 | $213.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.95 / $15.52 / $8,639.91
| Facility | | $11.95 | $15.52 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $7.75
| Professional | | $1.85 | $1.85 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.55 / $3.14 / $7.61
| Facility | | $1.55 | $3.14 | $7.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.68 / $4.23
| Professional | | $1.55 | $2.68 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $1.90 / $3.21
| Professional | | $1.09 | $1.90 | $3.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.21 / $6.13 / $14.71
| Facility | | $3.21 | $6.13 | $14.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.02 / $3.13
| Professional | | $1.42 | $2.02 | $3.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $8.13 / $18.55
| Facility | | $2.96 | $8.13 | $18.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $9.78 / $37.13
| Facility | | $2.63 | $9.78 | $37.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.14 / $4.55
| Professional | | $1.91 | $2.14 | $4.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.59 / $3.50 / $7.61
| Facility | | $1.59 | $3.50 | $7.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.68 / $4.23
| Professional | | $1.55 | $2.68 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.37 / $3.37
| Professional | | $3.37 | $3.37 | $3.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.37 / $4.03
| Professional | | $1.42 | $2.37 | $4.03 |