- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.45 / $99.84 / $283.61
| Facility | | $7.45 | $99.84 | $283.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.88 / $9.76
| Professional | | $3.23 | $4.88 | $9.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.74 / $5.39
| Professional | | $2.59 | $3.74 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $16.63 / $31.59
| Facility | | $5.82 | $16.63 | $31.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $5.00 / $5.50
| Professional | | $2.86 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $8.61 / $33.04
| Facility | | $5.39 | $8.61 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $5.21 / $8.09
| Professional | | $4.04 | $5.21 | $8.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $5.31 / $5.39
| Facility | | $5.31 | $5.31 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.76 / $11.70 / $27.75
| Facility | | $3.76 | $11.70 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.97 / $9.30
| Professional | | $2.86 | $3.97 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $5.39 / $9.83
| Facility | | $4.30 | $5.39 | $9.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.39 / $7.02
| Professional | | $4.84 | $5.39 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.40 / $85.89 / $828.95
| Facility | | $66.40 | $85.89 | $828.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $5.39 / $14.87
| Facility | | $4.30 | $5.39 | $14.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $4.15 / $7.76
| Professional | | $2.86 | $4.15 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.15 / $4.46
| Professional | | $2.25 | $3.15 | $4.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.66 / $5.39
| Professional | | $2.10 | $2.66 | $5.39 |