- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $9.55 / $28.18
| Facility | | $3.24 | $9.55 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.95 / $14.79
| Professional | | $1.91 | $2.95 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.41 / $2.82
| Professional | | $1.20 | $1.41 | $2.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $16.60 / $5,011.87
| Facility | | $12.59 | $16.60 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $1.86 / $7.76
| Professional | | $1.86 | $1.86 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $3.47 / $7.76
| Facility | | $1.58 | $3.47 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.45 / $4.27
| Professional | | $1.55 | $2.45 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $2.04 / $3.47
| Professional | | $1.12 | $2.04 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $2.34 / $2.34
| Facility | | $2.34 | $2.34 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.63 / $4.07
| Professional | | $2.29 | $2.63 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $5.25 / $12.30
| Facility | | $3.24 | $5.25 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.74 / $1.95
| Professional | | $1.41 | $1.74 | $1.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $9.12 / $165.96
| Facility | | $4.07 | $9.12 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $9.77 / $31.62
| Facility | | $2.75 | $9.77 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.82 / $10.23
| Professional | | $1.74 | $2.82 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $234.42 / $501.19
| Facility | | $169.82 | $234.42 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.89 / $3.47 / $11.75
| Facility | | $0.89 | $3.47 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.89 / $3.47 / $11.75
| Professional | | $0.89 | $3.47 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $2.34 / $2.82
| Facility | | $1.58 | $2.34 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.34 / $4.07
| Professional | | $1.41 | $2.34 | $4.07 |