- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $44.67 / $85.11
| Facility | | $19.05 | $44.67 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $19.05 / $57.54
| Professional | | $14.13 | $19.05 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $95.50
| Facility | | $18.20 | $28.18 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.95 / $165.96
| Professional | | $10.00 | $19.95 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $48.98 / $79.43
| Facility | | $39.81 | $48.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $25.70
| Professional | | $19.05 | $19.05 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $31.62 / $77.62
| Facility | | $15.49 | $31.62 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $23.99 / $52.48
| Professional | | $12.02 | $23.99 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $3,630.78 / $9,772.37
| Facility | | $28.84 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $28.84 / $33.88
| Professional | | $28.84 | $28.84 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $42.66
| Professional | | $19.95 | $19.95 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $95.50
| Facility | | $18.20 | $28.18 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.95 / $165.96
| Professional | | $10.00 | $19.95 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $19.95 / $33.11
| Facility | | $11.48 | $19.95 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.98 / $38.90
| Professional | | $9.77 | $16.98 | $38.90 |