- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.98 / $50.24 / $122.40
| Facility | | $5.98 | $50.24 | $122.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.99 / $3.72 / $5.86
| Professional | | $2.99 | $3.72 | $5.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $2.56 / $4.26
| Professional | | $1.92 | $2.56 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $11.55 / $23.95
| Facility | | $5.00 | $11.55 | $23.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $4.18 / $5.50
| Professional | | $2.35 | $4.18 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $6.83 / $48.17
| Facility | | $3.95 | $6.83 | $48.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $4.43 / $7.26
| Professional | | $3.20 | $4.43 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $5.98 / $5.98
| Facility | | $4.26 | $5.98 | $5.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $9.40 / $21.14
| Facility | | $2.98 | $9.40 | $21.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.12 / $8.69
| Professional | | $2.25 | $3.12 | $8.69 |
- 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
- $3.77 / $6.13 / $6.97
| Professional | | $3.77 | $6.13 | $6.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.42 / $4.26 / $24.75
| Facility | | $3.42 | $4.26 | $24.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $4.26 / $6.99
| Professional | | $3.84 | $4.26 | $6.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.94 / $225.70 / $980.97
| Facility | | $164.94 | $225.70 | $980.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.42 / $4.26 / $10.63
| Facility | | $3.42 | $4.26 | $10.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.28 / $6.11
| Professional | | $2.25 | $3.28 | $6.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.44 / $3.49
| Professional | | $1.79 | $2.44 | $3.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $2.11 / $4.26
| Professional | | $1.67 | $2.11 | $4.26 |