- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.66 / $82.15 / $99.65
| Facility | | $27.66 | $82.15 | $99.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.57 / $19.27 / $35.01
| Professional | | $16.57 | $19.27 | $35.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $12.85 / $12.85
| Professional | | $12.85 | $12.85 | $12.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.36 / $91.36 / $8,639.91
| Facility | | $70.36 | $91.36 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.70 / $16.70 / $16.70
| Professional | | $16.70 | $16.70 | $16.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.08 / $28.52 / $70.63
| Facility | | $14.08 | $28.52 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.51 / $24.37 / $37.65
| Professional | | $13.51 | $24.37 | $37.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $12.63 / $28.99
| Professional | | $9.85 | $12.63 | $28.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.76 / $58.48 / $101.71
| Facility | | $34.76 | $58.48 | $101.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $13.50 / $13.50
| Professional | | $12.85 | $13.50 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.05 / $66.73 / $118.74
| Facility | | $22.05 | $66.73 | $118.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.70 / $19.27 / $88.42
| Professional | | $16.70 | $19.27 | $88.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $32.52 / $70.63
| Facility | | $14.34 | $32.52 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.51 / $24.37 / $37.65
| Professional | | $13.51 | $24.37 | $37.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.41 / $21.41 / $21.41
| Facility | | $21.41 | $21.41 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.84 / $21.41 / $21.41
| Professional | | $18.84 | $21.41 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $12.85 / $37.25
| Professional | | $8.99 | $12.85 | $37.25 |