- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $27.54 / $83.18
| Facility | | $8.71 | $27.54 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.03 / $41.69
| Professional | | $5.01 | $6.03 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.68 / $6.61
| Professional | | $3.31 | $4.68 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $46.77 / $5,011.87
| Facility | | $35.48 | $46.77 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.89
| Professional | | $5.25 | $5.25 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $10.47 / $22.39
| Facility | | $4.47 | $10.47 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $7.59 / $11.75
| Professional | | $4.17 | $7.59 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.98 / $9.77
| Professional | | $3.16 | $3.98 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $6.61
| Facility | | $6.61 | $6.61 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $7.41 / $11.48
| Professional | | $6.61 | $7.41 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $16.98 / $57.54
| Facility | | $9.33 | $16.98 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.47 / $7.08
| Professional | | $3.98 | $4.47 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $27.54 / $83.18
| Facility | | $8.51 | $27.54 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.61 / $27.54
| Professional | | $5.01 | $6.61 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $6.61 / $11.22
| Facility | | $2.82 | $6.61 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $7.08 / $11.22
| Professional | | $2.82 | $7.08 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $6.61 / $7.94
| Facility | | $4.47 | $6.61 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.37 / $11.75
| Professional | | $2.82 | $4.37 | $11.75 |