- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.94 / $58.90 / $144.56
| Facility | | $12.94 | $58.90 | $144.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $11.54 / $15.54
| Professional | | $7.77 | $11.54 | $15.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $7.77 / $12.95
| Professional | | $3.50 | $7.77 | $12.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.99 / $40.40 / $73.47
| Facility | | $13.99 | $40.40 | $73.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.12 / $10.36
| Professional | | $5.00 | $7.12 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $19.43 / $111.94
| Facility | | $11.97 | $19.43 | $111.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $12.95 / $20.85
| Professional | | $9.71 | $12.95 | $20.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $12.95 / $12.95
| Facility | | $12.95 | $12.95 | $12.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $28.29 / $58.78
| Facility | | $9.05 | $28.29 | $58.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.39 / $21.88
| Professional | | $6.86 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $70.00
| Facility | | $55.00 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.62 / $18.89 / $21.46
| Professional | | $11.62 | $18.89 | $21.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $12.95 / $24.36
| Facility | | $10.36 | $12.95 | $24.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $12.95 / $21.62
| Professional | | $11.66 | $12.95 | $21.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.20 / $272.58 / $1,376.06
| Facility | | $199.20 | $272.58 | $1,376.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $12.95 / $32.26
| Facility | | $10.36 | $12.95 | $32.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.96 / $18.78
| Professional | | $6.86 | $9.96 | $18.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $7.46 / $10.71
| Professional | | $5.44 | $7.46 | $10.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.39 / $12.95
| Professional | | $5.05 | $6.39 | $12.95 |