- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $13.80 / $53.70
| Facility | | $3.89 | $13.80 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.40 / $16.98
| Professional | | $2.00 | $2.40 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $3.80 / $60.26
| Facility | | $2.45 | $3.80 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $2.69 / $5.75
| Professional | | $1.62 | $2.69 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $6.46 / $10.23
| Facility | | $5.13 | $6.46 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $2.51 / $3.39
| Professional | | $2.51 | $2.51 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $4.27 / $10.47
| Facility | | $2.09 | $4.27 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.31 / $4.47
| Professional | | $2.00 | $3.31 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $3,630.78 / $9,772.37
| Facility | | $3.39 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $4.37
| Professional | | $3.72 | $3.72 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $2.69 / $8.13
| Professional | | $2.69 | $2.69 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $4.07 / $38.02
| Facility | | $3.31 | $4.07 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $3.80 / $60.26
| Facility | | $2.45 | $3.80 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $2.69 / $5.75
| Professional | | $1.62 | $2.69 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $3.09 / $6.17
| Facility | | $2.40 | $3.09 | $6.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.82 / $4.07
| Professional | | $2.40 | $2.82 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.55 / $2.69 / $4.47
| Facility | | $1.55 | $2.69 | $4.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $2.24 / $6.46
| Professional | | $1.35 | $2.24 | $6.46 |