- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.68 / $83.84 / $123.09
| Facility | | $19.68 | $83.84 | $123.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.95 / $19.93 / $100.36
| Professional | | $18.95 | $19.93 | $100.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.58 / $159.18 / $8,639.91
| Facility | | $122.58 | $159.18 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.95 / $18.95 / $18.95
| Professional | | $18.95 | $18.95 | $18.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.98 / $32.36 / $80.41
| Facility | | $15.98 | $32.36 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $28.08 / $42.74
| Professional | | $15.22 | $28.08 | $42.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $19.44 / $32.90
| Professional | | $11.18 | $19.44 | $32.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.88 / $132.88 / $132.88
| Facility | | $132.88 | $132.88 | $132.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.66 / $68.88 / $123.09
| Facility | | $20.66 | $68.88 | $123.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $20.66 / $100.36
| Professional | | $18.80 | $20.66 | $100.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.27 / $36.93 / $80.41
| Facility | | $16.27 | $36.93 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $28.08 / $42.74
| Professional | | $15.22 | $28.08 | $42.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.30 / $24.30 / $24.30
| Facility | | $24.30 | $24.30 | $24.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $24.30 / $34.60
| Professional | | $21.38 | $24.30 | $34.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $15.55 / $42.59
| Professional | | $10.94 | $15.55 | $42.59 |