- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.64 / $1.83 / $1,333.22
| Facility | | $0.64 | $1.83 | $1,333.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.64 / $0.81
| Professional | | $0.63 | $0.64 | $0.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $0.68 / $8,459.92
| Facility | | $0.57 | $0.68 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Professional | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $0.63 / $0.63
| Facility | | $0.59 | $0.63 | $0.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.65
| Professional | | $0.63 | $0.63 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.68 / $0.88
| Professional | | $0.65 | $0.68 | $0.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $3.08 / $5.00
| Facility | | $0.79 | $3.08 | $5.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.74 / $0.74 / $0.74
| Professional | | $0.74 | $0.74 | $0.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.79 / $1.70 / $1,333.22
| Facility | | $0.79 | $1.70 | $1,333.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.78 / $1.65
| Professional | | $0.63 | $0.78 | $1.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.90 / $27.40 / $27.40
| Professional | | $0.90 | $27.40 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $0.63 / $0.63
| Facility | | $0.59 | $0.63 | $0.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.63 / $0.71
| Professional | | $0.63 | $0.63 | $0.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.57 / $3.57 / $4.15
| Facility | | $3.57 | $3.57 | $4.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $3.57 / $4.15
| Professional | | $3.57 | $3.57 | $4.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.63 / $0.67 / $1.14
| Professional | | $0.63 | $0.67 | $1.14 |