- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.49 / $3.96 / $5,425.03
| Facility | | $1.49 | $3.96 | $5,425.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $3.95 / $5.27
| Professional | | $2.62 | $3.95 | $5.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $6.75 / $16.50
| Facility | | $4.55 | $6.75 | $16.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $2.87 / $2.87
| Professional | | $2.87 | $2.87 | $2.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.51 / $6.60
| Facility | | $4.00 | $4.51 | $6.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $4.51
| Professional | | $4.51 | $4.51 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $1.15 / $1.15
| Facility | | $1.15 | $1.15 | $1.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $3.61 / $7.06
| Facility | | $3.61 | $3.61 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.07 / $3.07
| Professional | | $3.07 | $3.07 | $3.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $80.00 / $85.00
| Facility | | $12.22 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.98 / $29.98 / $45.15
| Professional | | $29.98 | $29.98 | $45.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $4.73 / $7.50
| Facility | | $3.95 | $4.73 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $5.72 / $6.02
| Professional | | $4.59 | $5.72 | $6.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $6.92 / $11.90
| Professional | | $4.50 | $6.92 | $11.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.73 / $7.53
| Facility | | $4.01 | $4.73 | $7.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.07 / $5.01
| Professional | | $3.07 | $3.07 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $2.78 / $3.66
| Professional | | $2.13 | $2.78 | $3.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $6.02 / $8.13
| Professional | | $2.67 | $6.02 | $8.13 |