- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $60.56 / $92.80
| Facility | | $12.56 | $60.56 | $92.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $13.24 / $26.34
| Professional | | $10.93 | $13.24 | $26.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $8.86 / $8.86
| Professional | | $2.96 | $8.86 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.56 / $96.83 / $8,639.91
| Facility | | $74.56 | $96.83 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $11.53 / $11.53
| Professional | | $11.53 | $11.53 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.71 / $19.69 / $48.90
| Facility | | $9.71 | $19.69 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $16.93 / $25.81
| Professional | | $9.32 | $16.93 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $10.01 / $20.01
| Professional | | $6.80 | $10.01 | $20.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.45 / $38.44 / $81.87
| Facility | | $20.45 | $38.44 | $81.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $11.44 / $14.00
| Professional | | $8.86 | $11.44 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $51.73 / $115.51
| Facility | | $12.56 | $51.73 | $115.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $13.24 / $50.99
| Professional | | $7.83 | $13.24 | $50.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.90 / $22.47 / $48.90
| Facility | | $9.90 | $22.47 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $16.93 / $25.81
| Professional | | $9.32 | $16.93 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $14.78 / $14.78
| Facility | | $14.78 | $14.78 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $14.78 / $21.05
| Professional | | $13.01 | $14.78 | $21.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $9.72 / $25.91
| Professional | | $6.65 | $9.72 | $25.91 |