- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.15 / $95.25 / $296.00
| Facility | | $36.15 | $95.25 | $296.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.95 / $66.54 / $88.72
| Professional | | $22.95 | $66.54 | $88.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.21 / $43.82 / $140.25
| Facility | | $23.21 | $43.82 | $140.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $22.44 / $53.14
| Professional | | $11.53 | $22.44 | $53.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.20 / $68.78 / $124.60
| Facility | | $25.20 | $68.78 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.60 / $23.92 / $25.20
| Professional | | $17.60 | $23.92 | $25.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.72 / $37.09 / $86.92
| Facility | | $16.72 | $37.09 | $86.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $23.71 / $42.94
| Professional | | $15.20 | $23.71 | $42.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.86 / $36.86 / $43.38
| Professional | | $36.86 | $36.86 | $43.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.45 / $35.27 / $90.78
| Professional | | $25.45 | $35.27 | $90.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.97 / $60.12 / $230.96
| Facility | | $29.97 | $60.12 | $230.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.45 / $140.25 / $140.25
| Facility | | $50.45 | $140.25 | $140.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $15.27 / $42.65
| Professional | | $5.25 | $15.27 | $42.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.19 / $19.94 / $30.58
| Facility | | $14.19 | $19.94 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.06 / $22.44 / $27.54
| Professional | | $14.06 | $22.44 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.45 / $12.73 / $17.46
| Facility | | $11.45 | $12.73 | $17.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $15.27 / $100.93
| Professional | | $5.25 | $15.27 | $100.93 |