- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $96.75 / $350.36
| Facility | | $16.45 | $96.75 | $350.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.67 / $17.55 / $66.52
| Professional | | $15.67 | $17.55 | $66.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $11.61 / $11.61
| Professional | | $11.61 | $11.61 | $11.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.61 / $126.75 / $8,639.91
| Facility | | $97.61 | $126.75 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $15.09
| Professional | | $15.09 | $15.09 | $15.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.71 / $25.77 / $64.11
| Facility | | $12.71 | $25.77 | $64.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $22.30 / $33.85
| Professional | | $12.11 | $22.30 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $15.48 / $26.20
| Professional | | $8.90 | $15.48 | $26.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.70 / $63.54 / $209.51
| Facility | | $33.70 | $63.54 | $209.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $15.06 / $18.50
| Professional | | $11.61 | $15.06 | $18.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.10 / $84.62 / $371.70
| Facility | | $18.10 | $84.62 | $371.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.51 / $16.88 / $79.92
| Professional | | $14.51 | $16.88 | $79.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.96 / $29.40 / $64.11
| Facility | | $12.96 | $29.40 | $64.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $22.30 / $33.85
| Professional | | $12.11 | $22.30 | $33.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.35 / $19.35 / $19.35
| Facility | | $19.35 | $19.35 | $19.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $19.35 / $27.55
| Professional | | $17.03 | $19.35 | $27.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.72 / $35.40
| Professional | | $8.71 | $12.72 | $35.40 |