- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.45 / $38.45 / $59.13
| Facility | | $11.45 | $38.45 | $59.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.45 / $12.60 / $13.57
| Professional | | $11.45 | $12.60 | $13.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.36 / $92.66 / $8,639.91
| Facility | | $71.36 | $92.66 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $11.03 / $11.03
| Professional | | $11.03 | $11.03 | $11.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $18.82 / $46.72
| Facility | | $9.30 | $18.82 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $16.52 / $24.97
| Professional | | $8.85 | $16.52 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.34 / $19.14
| Professional | | $6.50 | $8.34 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.68 / $29.58 / $68.95
| Facility | | $14.68 | $29.58 | $68.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $13.50 / $13.50
| Professional | | $13.50 | $13.50 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $36.06 / $59.13
| Facility | | $12.59 | $36.06 | $59.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $12.64 / $58.40
| Professional | | $10.18 | $12.64 | $58.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $21.50 / $46.72
| Facility | | $9.47 | $21.50 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $16.52 / $24.97
| Professional | | $8.85 | $16.52 | $24.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.14 / $14.14 / $14.14
| Facility | | $14.14 | $14.14 | $14.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.44 / $14.14 / $20.14
| Professional | | $12.44 | $14.14 | $20.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $9.05 / $24.79
| Professional | | $5.94 | $9.05 | $24.79 |