- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $38.90 / $75.86
| Facility | | $14.13 | $38.90 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $7.08 / $43.65
| Professional | | $4.47 | $7.08 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $15.49 / $33.11
| Facility | | $3.80 | $15.49 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.75 / $19.50
| Professional | | $3.31 | $5.75 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $47.86 / $93.33
| Facility | | $15.14 | $47.86 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.59 / $19.05
| Professional | | $5.25 | $7.59 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $11.22 / $24.55
| Facility | | $4.47 | $11.22 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.61 / $10.96
| Professional | | $3.89 | $6.61 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $6.61 / $10.72
| Professional | | $5.89 | $6.61 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.61 / $15.14
| Professional | | $5.37 | $6.61 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $309.03
| Facility | | $309.03 | $309.03 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $6.61 / $6.61
| Professional | | $3.31 | $6.61 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $7.94 / $21.38
| Facility | | $5.50 | $7.94 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.31 / $14.79
| Professional | | $3.89 | $6.31 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $23.44
| Professional | | $23.44 | $23.44 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.76 / $11.22
| Professional | | $5.37 | $6.76 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $4.57 / $6.61
| Facility | | $3.02 | $4.57 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $3.98 / $13.18
| Professional | | $2.82 | $3.98 | $13.18 |