- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $45.82 / $70.45
| Facility | | $13.65 | $45.82 | $70.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.34 / $16.85 / $37.95
| Professional | | $12.34 | $16.85 | $37.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.19 / $95.04 / $8,639.91
| Facility | | $73.19 | $95.04 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $13.14
| Professional | | $13.14 | $13.14 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $21.90 / $55.42
| Facility | | $11.07 | $21.90 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $19.13 / $25.39
| Professional | | $9.16 | $19.13 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $9.94 / $22.81
| Professional | | $7.75 | $9.94 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.56 / $33.56 / $33.56
| Facility | | $33.56 | $33.56 | $33.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $42.96 / $70.45
| Facility | | $13.65 | $42.96 | $70.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $14.32 / $69.59
| Professional | | $12.13 | $14.32 | $69.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.34 / $84.34 / $84.34
| Facility | | $84.34 | $84.34 | $84.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.28 / $22.43 / $55.42
| Facility | | $11.28 | $22.43 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $19.13 / $25.39
| Professional | | $9.16 | $19.13 | $25.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $16.85
| Facility | | $16.85 | $16.85 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.83 / $16.85 / $20.65
| Professional | | $14.83 | $16.85 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.60 / $31.43
| Professional | | $7.08 | $10.60 | $31.43 |