- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $20.54 / $65.88
| Facility | | $0.02 | $20.54 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $25.50 / $42.00
| Professional | | $15.00 | $25.50 | $42.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $83.40 / $156.00
| Facility | | $32.31 | $83.40 | $156.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $16.50 / $16.50
| Professional | | $5.00 | $16.50 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.50 / $45.00 / $71.33
| Facility | | $28.50 | $45.00 | $71.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $30.00 / $30.00
| Facility | | $13.89 | $30.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $48.17 / $128.41
| Facility | | $14.39 | $48.17 | $128.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $15.28 / $44.00
| Professional | | $8.06 | $15.28 | $44.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $142.50 / $142.50
| Facility | | $55.00 | $142.50 | $142.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $30.00 / $31.50
| Facility | | $17.89 | $30.00 | $31.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.72 / $30.00 / $30.00
| Professional | | $16.72 | $30.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $30.00 / $65.09
| Facility | | $15.49 | $30.00 | $65.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $13.70 / $30.00
| Professional | | $7.77 | $13.70 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $12.60 / $18.00
| Professional | | $6.94 | $12.60 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.70 / $12.00 / $30.00
| Professional | | $11.70 | $12.00 | $30.00 |