- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $42.66 / $79.43
| Facility | | $16.22 | $42.66 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $15.14 / $72.44
| Professional | | $12.02 | $15.14 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $22.91 / $77.62
| Facility | | $14.79 | $22.91 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $34.67
| Professional | | $9.77 | $16.22 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $39.81 / $64.57
| Facility | | $32.36 | $39.81 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $20.89
| Professional | | $15.49 | $15.49 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $26.30 / $63.10
| Facility | | $12.88 | $26.30 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $19.95 / $27.54
| Professional | | $12.02 | $19.95 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $3,630.78 / $9,772.37
| Facility | | $15.85 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $23.99 / $28.18
| Professional | | $23.99 | $23.99 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $50.12
| Professional | | $16.22 | $16.22 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $44.67
| Facility | | $15.49 | $15.49 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $22.91 / $77.62
| Facility | | $14.79 | $22.91 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $34.67
| Professional | | $9.77 | $16.22 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $16.22 / $26.92
| Facility | | $9.33 | $16.22 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $13.80 / $38.90
| Professional | | $8.13 | $13.80 | $38.90 |