- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.22 / $72.76 / $213.01
| Facility | | $21.22 | $72.76 | $213.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $15.04 / $15.92
| Professional | | $14.57 | $15.04 | $15.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $35.85 / $97.56
| Facility | | $15.24 | $35.85 | $97.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $16.71 / $40.70
| Professional | | $10.02 | $16.71 | $40.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.32 / $46.69 / $81.63
| Facility | | $29.32 | $46.69 | $81.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.71 / $15.71 / $21.38
| Professional | | $15.71 | $15.71 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $24.84 / $57.09
| Facility | | $11.68 | $24.84 | $57.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $18.48 / $28.47
| Professional | | $9.99 | $18.48 | $28.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.71 / $23.16 / $62.21
| Professional | | $16.71 | $23.16 | $62.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.21 / $21.77 / $87.08
| Facility | | $19.21 | $21.77 | $87.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.85 / $97.56 / $97.56
| Facility | | $35.85 | $97.56 | $97.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $10.50 / $35.28
| Professional | | $8.02 | $10.50 | $35.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $10.50 / $31.85
| Professional | | $7.52 | $10.50 | $31.85 |