- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.26 / $1.91 / $1,445.44
| Facility | | $1.26 | $1.91 | $1,445.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $4.27 / $74.13
| Professional | | $1.12 | $4.27 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $64.57
| Professional | | $64.57 | $64.57 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.60 / $0.71 / $5,011.87
| Facility | | $0.60 | $0.71 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $0.68 / $0.68
| Professional | | $0.68 | $0.68 | $0.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Facility | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.71
| Professional | | $0.65 | $0.65 | $0.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.10 / $1.35
| Professional | | $1.00 | $1.10 | $1.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Facility | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.68 / $1.29 / $35.48
| Professional | | $0.68 | $1.29 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $114.82 / $165.96
| Facility | | $26.92 | $114.82 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.26 / $2.00 / $1,000.00
| Facility | | $1.26 | $2.00 | $1,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $2.45 / $52.48
| Professional | | $1.12 | $2.45 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $30.20 / $69.18
| Professional | | $0.60 | $30.20 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.91 / $1.29 / $1.48
| Facility | | $0.91 | $1.29 | $1.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.91 / $1.29 / $1.66
| Professional | | $0.91 | $1.29 | $1.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.69 / $1.78
| Professional | | $0.65 | $0.69 | $1.78 |