- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.55 / $3.71 / $222.86
| Facility | | $0.55 | $3.71 | $222.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.55 / $85.50 / $220.08
| Professional | | $0.55 | $85.50 | $220.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.36 / $0.36 / $0.36
| Professional | | $0.36 | $0.36 | $0.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.39 / $0.46 / $8,639.91
| Facility | | $0.39 | $0.46 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.46 / $0.46 / $0.46
| Professional | | $0.46 | $0.46 | $0.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.56
| Facility | | $0.56 | $0.56 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.56
| Professional | | $0.56 | $0.56 | $0.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.52 / $0.94 / $1.96
| Facility | | $0.52 | $0.94 | $1.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.36 / $0.36 / $0.36
| Professional | | $0.36 | $0.36 | $0.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.55 / $1.53 / $222.86
| Facility | | $0.55 | $1.53 | $222.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.55 / $82.50 / $203.78
| Professional | | $0.55 | $82.50 | $203.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.56
| Facility | | $0.56 | $0.56 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.56
| Professional | | $0.56 | $0.56 | $0.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.66
| Facility | | $0.56 | $0.56 | $0.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.56 / $0.66
| Professional | | $0.56 | $0.56 | $0.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.48 / $0.48 / $0.66
| Professional | | $0.48 | $0.48 | $0.66 |