- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $41.69 / $81.28
| Facility | | $12.88 | $41.69 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.96 / $34.67
| Professional | | $8.91 | $10.96 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $89.13 / $5,011.87
| Facility | | $67.61 | $89.13 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $12.02
| Professional | | $10.00 | $10.00 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $19.95 / $43.65
| Facility | | $8.71 | $19.95 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $14.45 / $22.39
| Professional | | $7.94 | $14.45 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $12.30 / $18.62
| Professional | | $6.03 | $12.30 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $14.13 / $22.39
| Professional | | $12.59 | $14.13 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $34.67 / $81.28
| Facility | | $19.05 | $34.67 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $12.59
| Professional | | $7.76 | $7.76 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $38.02 / $81.28
| Facility | | $10.96 | $38.02 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $47.86
| Professional | | $8.91 | $12.02 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $14.13 / $19.95
| Facility | | $12.88 | $14.13 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $13.18 / $19.95
| Professional | | $12.88 | $13.18 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $12.88 / $15.49
| Facility | | $8.71 | $12.88 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $9.33 / $22.39
| Professional | | $5.75 | $9.33 | $22.39 |