- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.94 / $63.57 / $178.86
| Facility | | $16.94 | $63.57 | $178.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.65 / $25.44
| Professional | | $10.44 | $12.65 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.25 / $92.53 / $8,639.91
| Facility | | $71.25 | $92.53 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $11.01 / $11.01
| Professional | | $11.01 | $11.01 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $18.80 / $46.72
| Facility | | $9.27 | $18.80 | $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 / $8.33 / $19.12
| Professional | | $6.50 | $8.33 | $19.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.29 / $38.89 / $105.27
| Facility | | $22.29 | $38.89 | $105.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $12.01 / $23.21
| Professional | | $8.47 | $12.01 | $23.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $58.43 / $164.54
| Facility | | $14.54 | $58.43 | $164.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $12.82 / $35.64
| Professional | | $11.15 | $12.82 | $35.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $21.47 / $46.72
| Facility | | $9.46 | $21.47 | $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
- $14.12 / $14.12 / $14.12
| Facility | | $14.12 | $14.12 | $14.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $14.12 / $20.12
| Professional | | $12.43 | $14.12 | $20.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $9.03 / $24.76
| Professional | | $5.93 | $9.03 | $24.76 |