- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $26.30 / $91.20
| Facility | | $19.95 | $26.30 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $25.70 / $36.31
| Professional | | $19.05 | $25.70 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $28.84 / $74.13
| Facility | | $18.62 | $28.84 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $26.30 / $251.19
| Professional | | $14.13 | $26.30 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $24.55 / $35.48
| Facility | | $19.50 | $24.55 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.14 / $35.48 / $67.61
| Facility | | $2.14 | $35.48 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $22.39 / $60.26
| Professional | | $11.48 | $22.39 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $35.48 / $41.69
| Professional | | $16.22 | $35.48 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $30.20 / $48.98
| Professional | | $27.54 | $30.20 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $109.65 / $109.65
| Facility | | $109.65 | $109.65 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $28.84 / $74.13
| Facility | | $18.62 | $28.84 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $26.30 / $251.19
| Professional | | $14.13 | $26.30 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $33.88 / $83.18
| Facility | | $8.51 | $33.88 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $24.55 / $38.90
| Professional | | $12.59 | $24.55 | $38.90 |