- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $22.61 / $50.60
| Facility | | $5.15 | $22.61 | $50.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.99 / $9.98
| Professional | | $4.51 | $4.99 | $9.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $5.51
| Professional | | $3.31 | $3.31 | $5.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $19.52 / $2,167.42
| Facility | | $6.98 | $19.52 | $2,167.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.90 / $33.63 / $8,639.91
| Facility | | $25.90 | $33.63 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $4.30 / $4.30
| Professional | | $4.30 | $4.30 | $4.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $7.33 / $18.47
| Facility | | $3.81 | $7.33 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $6.20 / $9.73
| Professional | | $3.42 | $6.20 | $9.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.25 / $7.46
| Professional | | $2.52 | $3.25 | $7.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.18 / $15.78 / $31.95
| Facility | | $8.18 | $15.78 | $31.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.16 / $5.00
| Professional | | $3.31 | $4.16 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.34 / $18.46 / $43.29
| Facility | | $6.34 | $18.46 | $43.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $19.28 / $56.25
| Facility | | $4.68 | $19.28 | $56.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $4.99 / $22.76
| Professional | | $4.30 | $4.99 | $22.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.52 / $92.52 / $116.38
| Facility | | $92.52 | $92.52 | $116.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.69 / $8.38 / $18.47
| Facility | | $3.69 | $8.38 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $6.20 / $9.73
| Professional | | $3.42 | $6.20 | $9.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $5.51 / $5.51
| Facility | | $5.51 | $5.51 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.51 / $7.31
| Professional | | $4.84 | $5.51 | $7.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.38 / $9.59
| Professional | | $2.48 | $3.38 | $9.59 |