- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $79.43 / $199.53
| Facility | | $25.12 | $79.43 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.05 / $42.66
| Professional | | $15.14 | $19.05 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $181.97
| Facility | | $19.50 | $30.20 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $21.38 / $44.67
| Professional | | $8.91 | $21.38 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $52.48 / $75.86
| Facility | | $41.69 | $52.48 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $21.38
| Professional | | $19.95 | $19.95 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $33.88 / $81.28
| Facility | | $16.60 | $33.88 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $26.30 / $36.31
| Professional | | $15.49 | $26.30 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $3,630.78 / $9,772.37
| Facility | | $25.12 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $30.90 / $36.31
| Professional | | $30.90 | $30.90 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $52.48
| Professional | | $21.38 | $21.38 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $38.90 / $239.88
| Facility | | $21.88 | $38.90 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $181.97
| Facility | | $19.50 | $30.20 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $21.38 / $44.67
| Professional | | $10.23 | $21.38 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $18.62 / $31.62
| Professional | | $17.38 | $18.62 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $21.38 / $34.67
| Facility | | $12.30 | $21.38 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $14.13 / $42.66
| Professional | | $3.16 | $14.13 | $42.66 |