- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $40.40 / $99.97
| Facility | | $11.33 | $40.40 | $99.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.49 / $16.46
| Professional | | $8.02 | $8.49 | $16.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $5.66 / $5.66
| Professional | | $5.66 | $5.66 | $5.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $10.83 / $629.20
| Facility | | $4.30 | $10.83 | $629.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.56 / $61.76 / $8,639.91
| Facility | | $47.56 | $61.76 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $7.36 / $7.36
| Professional | | $7.36 | $7.36 | $7.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.21 / $12.58 / $31.51
| Facility | | $6.21 | $12.58 | $31.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $10.74 / $16.50
| Professional | | $5.90 | $10.74 | $16.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $5.57 / $12.78
| Professional | | $2.98 | $5.57 | $12.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.44 / $22.41 / $43.63
| Facility | | $12.44 | $22.41 | $43.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $8.02 / $23.70
| Professional | | $5.66 | $8.02 | $23.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $10.32 / $22.88
| Facility | | $5.05 | $10.32 | $22.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $39.84 / $99.97
| Facility | | $9.72 | $39.84 | $99.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $8.49 / $25.57
| Professional | | $7.46 | $8.49 | $25.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,230.40 / $2,230.40 / $2,805.96
| Facility | | $2,230.40 | $2,230.40 | $2,805.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.32 / $14.32 / $31.51
| Facility | | $6.32 | $14.32 | $31.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $10.74 / $16.50
| Professional | | $5.90 | $10.74 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $9.44 / $9.44
| Facility | | $9.44 | $9.44 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $9.44 / $9.44
| Professional | | $3.36 | $9.44 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $6.20 / $16.05
| Professional | | $4.25 | $6.20 | $16.05 |