- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $8.91 / $19.50
| Facility | | $3.80 | $8.91 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $19.95
| Professional | | $3.02 | $3.98 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $11.75
| Facility | | $4.47 | $4.47 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $2.45 / $10.72
| Professional | | $2.19 | $2.45 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $4.47 / $4.47
| Facility | | $2.69 | $4.47 | $4.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.47 / $4.47
| Professional | | $3.24 | $4.47 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $9.77 / $47.86
| Facility | | $3.39 | $9.77 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $6.46 / $39.81
| Professional | | $2.95 | $6.46 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $5.75 / $16.22
| Facility | | $3.98 | $5.75 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.16 / $8.71
| Professional | | $2.09 | $3.16 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $3.24
| Facility | | $3.24 | $3.24 | $3.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.27 / $5.89
| Professional | | $3.24 | $4.27 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $11.22 / $40.74
| Facility | | $3.31 | $11.22 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $8.13 / $50,118.72
| Facility | | $4.47 | $8.13 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $4.07 / $5.37
| Facility | | $2.69 | $4.07 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.69 / $6.76
| Professional | | $1.86 | $2.69 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $3.80 / $10.72
| Facility | | $3.24 | $3.80 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.47 / $14.13
| Professional | | $3.24 | $4.47 | $14.13 |