- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.11 / $37.09 / $64.06
| Facility | | $19.11 | $37.09 | $64.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $19.11 / $44.96
| Professional | | $12.26 | $19.11 | $44.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $22.48 / $58.45
| Facility | | $22.48 | $22.48 | $58.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $14.50 / $38.67
| Professional | | $8.99 | $14.50 | $38.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $22.48 / $22.48
| Facility | | $13.49 | $22.48 | $22.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $22.48 / $22.48
| Professional | | $16.41 | $22.48 | $22.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.71 / $45.22 / $57.95
| Facility | | $15.71 | $45.22 | $57.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $25.78 / $108.35
| Professional | | $12.70 | $25.78 | $108.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $29.22 / $332.00
| Facility | | $10.00 | $29.22 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $18.17 / $41.14
| Professional | | $10.27 | $18.17 | $41.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $21.28 / $25.25
| Professional | | $13.49 | $21.28 | $25.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $47.48 / $243.46
| Facility | | $19.91 | $47.48 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.15 / $22.71 / $36.44
| Professional | | $13.15 | $22.71 | $36.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.37 / $14.63 / $40.97
| Professional | | $11.37 | $14.63 | $40.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.85 / $25.85 / $36.02
| Facility | | $25.85 | $25.85 | $36.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $21.36 / $27.02
| Professional | | $13.49 | $21.36 | $27.02 |