- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $74.13 / $177.83
| Facility | | $17.78 | $74.13 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $19.95 / $75.86
| Professional | | $10.47 | $19.95 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $75.86 / $120.23
| Facility | | $28.18 | $75.86 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $25.70 / $52.48
| Professional | | $15.14 | $25.70 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $51.29 / $74.13
| Facility | | $40.74 | $51.29 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $23.99 / $25.12
| Professional | | $23.99 | $23.99 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $17.78 / $40.74
| Facility | | $12.02 | $17.78 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $30.90 / $38.90
| Professional | | $15.14 | $30.90 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $3,630.78 / $9,772.37
| Facility | | $26.92 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $37.15 / $43.65
| Professional | | $37.15 | $37.15 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $25.70 / $54.95
| Professional | | $25.70 | $25.70 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $72.44 / $107.15
| Facility | | $25.12 | $72.44 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $75.86 / $120.23
| Facility | | $28.18 | $75.86 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $25.70 / $52.48
| Professional | | $15.14 | $25.70 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $22.39 / $38.02
| Professional | | $18.62 | $22.39 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $25.70 / $30.20
| Facility | | $15.14 | $25.70 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $19.50 / $54.95
| Professional | | $11.48 | $19.50 | $54.95 |