- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $48.98 / $93.33
| Facility | | $5.13 | $48.98 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.69 / $13.49
| Professional | | $2.00 | $2.69 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $4.27 / $89.13
| Facility | | $2.75 | $4.27 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $3.02 / $11.75
| Professional | | $1.78 | $3.02 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $45.71 / $66.07
| Facility | | $36.31 | $45.71 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $3.80
| Professional | | $2.82 | $2.82 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $4.68 / $11.48
| Facility | | $2.34 | $4.68 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.72 / $10.96
| Professional | | $2.19 | $3.72 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $3,630.78 / $9,772.37
| Facility | | $4.17 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $4.17 / $4.90
| Professional | | $4.17 | $4.17 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $12.59
| Professional | | $3.02 | $3.02 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $6.92 / $58.88
| Facility | | $3.72 | $6.92 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $4.27 / $89.13
| Facility | | $2.75 | $4.27 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $3.02 / $11.75
| Professional | | $1.78 | $3.02 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $3.24 / $67.61
| Facility | | $2.63 | $3.24 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.09 / $4.47
| Professional | | $2.63 | $3.09 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $4.07 / $107.15
| Facility | | $1.51 | $4.07 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.69 / $12.59
| Professional | | $1.48 | $2.69 | $12.59 |