- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $23.44 / $229.09
| Facility | | $4.37 | $23.44 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $6.76
| Professional | | $3.02 | $3.98 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $2.88 / $3.55
| Professional | | $2.88 | $2.88 | $3.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $389.05 / $741.31
| Facility | | $128.82 | $389.05 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.27 / $5.50
| Professional | | $3.16 | $4.27 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $10.47 / $229.09
| Facility | | $5.25 | $10.47 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $7.76 / $7.76
| Facility | | $5.75 | $7.76 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $12.59 / $30.20
| Facility | | $5.62 | $12.59 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.07 / $9.77
| Professional | | $3.02 | $4.07 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.75 / $58.88
| Facility | | $4.37 | $5.75 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $5.01 / $7.41
| Professional | | $3.02 | $5.01 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.79 / $4.79
| Professional | | $4.27 | $4.79 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $5.75 / $16.60
| Facility | | $4.47 | $5.75 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.17 / $9.77
| Professional | | $3.31 | $4.17 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $4.37 / $354.81
| Facility | | $2.00 | $4.37 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.39 / $4.90
| Professional | | $2.40 | $3.39 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $5.75
| Professional | | $2.24 | $2.24 | $5.75 |