- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $66.07 / $229.09
| Facility | | $7.76 | $66.07 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.47 / $19.05
| Professional | | $2.00 | $3.47 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.78 / $4.79
| Professional | | $1.48 | $1.78 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $6.92 / $15.14
| Facility | | $1.74 | $6.92 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.57 / $13.49
| Professional | | $1.48 | $2.57 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $29.51 / $70.79
| Facility | | $11.22 | $29.51 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.39 / $8.51
| Professional | | $2.40 | $3.39 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $5.13 / $10.96
| Facility | | $2.04 | $5.13 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $3.02 / $5.37
| Professional | | $1.74 | $3.02 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.02 / $4.79
| Professional | | $2.45 | $3.02 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $36.31
| Professional | | $36.31 | $36.31 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.02 / $6.61
| Professional | | $2.40 | $3.02 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $89.13 / $89.13
| Facility | | $89.13 | $89.13 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.89 / $14.13
| Professional | | $2.51 | $3.89 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $3.63 / $3.63
| Professional | | $1.78 | $3.63 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $3.63 / $10.00
| Facility | | $2.45 | $3.63 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $2.75 / $11.48
| Professional | | $1.74 | $2.75 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.02 / $5.13
| Professional | | $2.40 | $3.02 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $2.04 / $72.44
| Facility | | $1.38 | $2.04 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $1.78 / $8.32
| Professional | | $1.26 | $1.78 | $8.32 |