- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $104.71 / $269.15
| Facility | | $42.66 | $104.71 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $26.30 / $85.11
| Professional | | $20.89 | $26.30 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $41.69 / $141.25
| Facility | | $26.92 | $41.69 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $29.51 / $63.10
| Professional | | $17.78 | $29.51 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $72.44 / $114.82
| Facility | | $57.54 | $72.44 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $37.15
| Professional | | $27.54 | $27.54 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $46.77 / $114.82
| Facility | | $22.91 | $46.77 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $36.31 / $50.12
| Professional | | $21.88 | $36.31 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $3,630.78 / $9,772.37
| Facility | | $41.69 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $42.66 / $50.12
| Professional | | $42.66 | $42.66 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $89.13
| Professional | | $29.51 | $29.51 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $43.65 / $229.09
| Facility | | $34.67 | $43.65 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $41.69 / $141.25
| Facility | | $26.92 | $41.69 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $29.51 / $63.10
| Professional | | $17.78 | $29.51 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $33.88 / $67.61
| Facility | | $26.30 | $33.88 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $30.20 / $44.67
| Professional | | $26.30 | $30.20 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $29.51 / $47.86
| Facility | | $16.98 | $29.51 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $26.92 / $70.79
| Professional | | $14.79 | $26.92 | $70.79 |