- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $48.31 / $93.24
| Facility | | $4.80 | $48.31 | $93.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.37 / $3.70
| Professional | | $1.78 | $2.37 | $3.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.88 / $6.99
| Professional | | $1.35 | $1.88 | $6.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $7.21 / $15.15
| Facility | | $3.32 | $7.21 | $15.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $2.70 / $5.50
| Professional | | $1.49 | $2.70 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $4.46 / $51.85
| Facility | | $2.50 | $4.46 | $51.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.78 / $4.32
| Professional | | $2.02 | $2.78 | $4.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.67 / $2.67 / $2.70
| Facility | | $2.67 | $2.67 | $2.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $5.85 / $13.22
| Facility | | $1.89 | $5.85 | $13.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $2.25 / $4.51
| Professional | | $1.47 | $2.25 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.29 / $60.00 / $60.00
| Facility | | $21.29 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.78 / $4.30
| Professional | | $2.33 | $3.78 | $4.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $2.70 / $59.20
| Facility | | $2.16 | $2.70 | $59.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.70 / $6.08
| Professional | | $2.45 | $2.70 | $6.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.39 / $55.26 / $219.53
| Facility | | $40.39 | $55.26 | $219.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $2.70 / $7.33
| Facility | | $2.16 | $2.70 | $7.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $2.45 / $4.18
| Professional | | $1.47 | $2.45 | $4.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $1.55 / $2.23
| Professional | | $1.12 | $1.55 | $2.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $1.33 / $2.70
| Professional | | $1.05 | $1.33 | $2.70 |