- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.22 / $81.48 / $133.44
| Facility | | $24.22 | $81.48 | $133.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $24.22 / $29.31
| Professional | | $16.41 | $24.22 | $29.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.95 / $29.95 / $29.95
| Professional | | $29.95 | $29.95 | $29.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.89 / $33.92 / $98.88
| Facility | | $0.89 | $33.92 | $98.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $17.48 / $44.65
| Professional | | $9.52 | $17.48 | $44.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.55 / $22.55 / $22.55
| Facility | | $22.55 | $22.55 | $22.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $11.28 / $20.41
| Professional | | $7.52 | $11.28 | $20.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,239.23 / $2,239.23 / $2,239.23
| Facility | | $2,239.23 | $2,239.23 | $2,239.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.24 / $81.48 / $130.79
| Facility | | $32.24 | $81.48 | $130.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $24.22 / $36.33
| Professional | | $16.41 | $24.22 | $36.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $92.00 / $92.00
| Professional | | $30.90 | $92.00 | $92.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.09 / $33.92 / $98.88
| Facility | | $1.09 | $33.92 | $98.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $18.48 / $42.52
| Professional | | $9.71 | $18.48 | $42.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.57 / $31.57 / $32.52
| Facility | | $31.57 | $31.57 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.57 / $31.57 / $32.52
| Professional | | $31.57 | $31.57 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $14.88 / $33.47
| Professional | | $8.86 | $14.88 | $33.47 |