- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $12.40 / $47.45
| Facility | | $5.90 | $12.40 | $47.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.83 / $7.49
| Professional | | $1.81 | $1.83 | $7.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.52 / $4.84
| Professional | | $2.52 | $2.52 | $4.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $3.22 / $137.09
| Facility | | $2.74 | $3.22 | $137.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $1.96 / $8,459.92
| Facility | | $1.67 | $1.96 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $1.88 / $1.88
| Professional | | $1.88 | $1.88 | $1.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.81 / $1.81
| Facility | | $1.71 | $1.81 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $2.04
| Professional | | $1.81 | $1.81 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $1.96 / $2.52
| Professional | | $1.88 | $1.96 | $2.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.40 / $13.56 / $57.28
| Facility | | $6.40 | $13.56 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $3.35 / $3.35
| Professional | | $3.35 | $3.35 | $3.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $3.13 / $131.63
| Facility | | $2.74 | $3.13 | $131.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $12.59 / $63.70
| Facility | | $5.46 | $12.59 | $63.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.54 / $7.66
| Professional | | $1.81 | $2.54 | $7.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $9.40 / $27.40
| Professional | | $7.80 | $9.40 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.81 / $1.81
| Facility | | $1.71 | $1.81 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $2.29
| Professional | | $1.81 | $1.81 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $3.42
| Facility | | $2.95 | $2.95 | $3.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $3.42
| Professional | | $2.95 | $2.95 | $3.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.92 / $3.12
| Professional | | $1.81 | $1.92 | $3.12 |