- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.74 / $28.90 / $93.60
| Facility | | $5.74 | $28.90 | $93.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.61 / $4.79
| Professional | | $2.47 | $3.61 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $2.78 / $3.99
| Professional | | $1.92 | $2.78 | $3.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $12.45 / $23.54
| Facility | | $4.38 | $12.45 | $23.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.55 / $5.50
| Professional | | $2.19 | $3.55 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.59 / $5.99 / $42.84
| Facility | | $3.59 | $5.99 | $42.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $4.05 / $6.78
| Professional | | $2.79 | $4.05 | $6.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $3.95 / $3.99
| Facility | | $3.95 | $3.95 | $3.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $8.80 / $19.82
| Facility | | $2.78 | $8.80 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.94 / $6.56
| Professional | | $2.11 | $2.94 | $6.56 |
- 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
- $3.19 / $3.99 / $7.02
| Facility | | $3.19 | $3.99 | $7.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.59 / $3.99 / $6.66
| Professional | | $3.59 | $3.99 | $6.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.20 / $44.07 / $894.29
| Facility | | $32.20 | $44.07 | $894.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $3.99 / $10.99
| Facility | | $3.19 | $3.99 | $10.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.07 / $5.72
| Professional | | $2.11 | $3.07 | $5.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $2.31 / $4.19
| Professional | | $1.68 | $2.31 | $4.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $1.97 / $3.99
| Professional | | $1.56 | $1.97 | $3.99 |