- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.49 / $20.88 / $75.31
| Facility | | $6.49 | $20.88 | $75.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $6.57 / $8.73
| Professional | | $5.48 | $6.57 | $8.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $4.38 / $5.07
| Professional | | $3.65 | $4.38 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $17.61 / $293.00
| Facility | | $8.00 | $17.61 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $5.75 / $16.98
| Professional | | $3.60 | $5.75 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.91 / $59.57 / $97.40
| Facility | | $18.91 | $59.57 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.47 / $35.04
| Professional | | $4.53 | $6.47 | $35.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $9.60 / $24.46
| Facility | | $5.05 | $9.60 | $24.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $8.93 / $13.25
| Professional | | $4.67 | $8.93 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $7.30 / $11.68
| Professional | | $6.49 | $7.30 | $11.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $7.30 / $16.54
| Professional | | $5.84 | $7.30 | $16.54 |
- 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
- $6.57 / $9.13 / $14.48
| Professional | | $6.57 | $9.13 | $14.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $4.38 / $4.38
| Professional | | $4.38 | $4.38 | $4.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $8.73 / $20.87
| Facility | | $6.06 | $8.73 | $20.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $7.30 / $14.60
| Professional | | $4.87 | $7.30 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.62 / $25.62 / $25.62
| Professional | | $25.62 | $25.62 | $25.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $7.30 / $10.22
| Professional | | $5.84 | $7.30 | $10.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $4.34 / $14.02
| Professional | | $3.07 | $4.34 | $14.02 |