- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $41.69 / $95.50
| Facility | | $14.45 | $41.69 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $11.75 / $38.90
| Professional | | $9.55 | $11.75 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $79.43
| Facility | | $11.75 | $18.20 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $14.45 / $30.20
| Professional | | $8.51 | $14.45 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $45.71
| Facility | | $25.12 | $31.62 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $20.42 / $50.12
| Facility | | $10.47 | $20.42 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $17.38 / $22.39
| Professional | | $9.33 | $17.38 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $3,630.78 / $9,772.37
| Facility | | $19.05 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $23.99
| Professional | | $20.42 | $20.42 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $38.90
| Professional | | $14.45 | $14.45 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $19.05 / $77.62
| Facility | | $14.45 | $19.05 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $79.43
| Facility | | $11.75 | $18.20 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $14.45 / $30.20
| Professional | | $8.51 | $14.45 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $18.62 / $32.36
| Facility | | $13.18 | $18.62 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $13.80 / $21.38
| Professional | | $12.59 | $13.80 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $14.45 / $21.38
| Facility | | $7.41 | $14.45 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.96 / $32.36
| Professional | | $6.46 | $10.96 | $32.36 |