- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $87.10 / $190.55
| Facility | | $28.84 | $87.10 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $18.62 / $52.48
| Professional | | $15.85 | $18.62 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $102.33
| Facility | | $19.50 | $30.20 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $21.38 / $44.67
| Professional | | $12.88 | $21.38 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $52.48 / $83.18
| Facility | | $41.69 | $52.48 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $26.92
| Professional | | $19.95 | $19.95 | $26.92 |
- 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 / $35.48
| Professional | | $15.49 | $26.30 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $3,630.78 / $9,772.37
| Facility | | $30.20 | $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 / $64.57
| Professional | | $21.38 | $21.38 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $29.51 / $177.83
| Facility | | $24.55 | $29.51 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $102.33
| Facility | | $19.50 | $30.20 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $21.38 / $44.67
| Professional | | $12.88 | $21.38 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $25.70 / $46.77
| Facility | | $18.62 | $25.70 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $21.88 / $31.62
| Professional | | $18.62 | $21.88 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $21.38 / $34.67
| Facility | | $12.02 | $21.38 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $17.78 / $50.12
| Professional | | $10.47 | $17.78 | $50.12 |