- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $34.67 / $64.57
| Facility | | $13.18 | $34.67 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $58.88
| Professional | | $7.94 | $12.02 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $138.04
| Facility | | $12.02 | $18.62 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $13.18 / $27.54
| Professional | | $5.50 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $32.36 / $51.29
| Facility | | $25.70 | $32.36 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.98
| Professional | | $12.30 | $12.30 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $20.89 / $51.29
| Facility | | $10.23 | $20.89 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $22.39
| Professional | | $9.55 | $16.22 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $3,630.78 / $9,772.37
| Facility | | $19.05 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $22.39
| Professional | | $19.05 | $19.05 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $39.81
| Professional | | $13.18 | $13.18 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $34.67 / $34.67
| Facility | | $34.67 | $34.67 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $138.04
| Facility | | $12.02 | $18.62 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.18 / $27.54
| Professional | | $6.31 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $13.18 / $21.38
| Facility | | $7.59 | $13.18 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.96 / $31.62
| Professional | | $5.25 | $10.96 | $31.62 |