- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $15.66 / $43.53
| Facility | | $2.29 | $15.66 | $43.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $2.69 / $3.62
| Professional | | $1.87 | $2.69 | $3.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $2.09
| Professional | | $1.81 | $1.81 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $9.97 / $18.09
| Facility | | $3.74 | $9.97 | $18.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.99 / $5.50
| Professional | | $1.60 | $2.99 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.00 / $4.53
| Professional | | $2.11 | $3.00 | $4.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $3.01 / $3.02
| Facility | | $3.01 | $3.01 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $6.62 / $15.88
| Facility | | $2.11 | $6.62 | $15.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.22 / $6.14
| Professional | | $1.60 | $2.22 | $6.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.42 / $3.02 / $3.93
| Facility | | $2.42 | $3.02 | $3.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.02 / $4.91
| Professional | | $2.75 | $3.02 | $4.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.23 / $157.32 / $224.08
| Facility | | $90.23 | $157.32 | $224.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.42 / $3.02 / $8.24
| Facility | | $2.42 | $3.02 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.33 / $4.32
| Professional | | $1.60 | $2.33 | $4.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $7.50 / $7.50
| Facility | | $7.50 | $7.50 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.73 / $2.47
| Professional | | $1.27 | $1.73 | $2.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.18 / $1.49 / $3.02
| Professional | | $1.18 | $1.49 | $3.02 |