- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $51.29 / $123.03
| Facility | | $19.95 | $51.29 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $17.78 / $72.44
| Professional | | $12.88 | $17.78 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $27.54 / $100.00
| Facility | | $18.20 | $27.54 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.95 / $41.69
| Professional | | $11.75 | $19.95 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $48.98 / $77.62
| Facility | | $38.90 | $48.98 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $25.12
| Professional | | $18.62 | $18.62 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $31.62 / $75.86
| Facility | | $15.49 | $31.62 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $23.99 / $33.11
| Professional | | $14.45 | $23.99 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $3,630.78 / $9,772.37
| Facility | | $28.18 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $33.11
| Professional | | $28.18 | $28.18 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $58.88
| Professional | | $19.95 | $19.95 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $25.70 / $45.71
| Facility | | $18.62 | $25.70 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $27.54 / $100.00
| Facility | | $18.20 | $27.54 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.95 / $41.69
| Professional | | $11.75 | $19.95 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $19.95 / $32.36
| Facility | | $11.22 | $19.95 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.78 / $46.77
| Professional | | $9.77 | $17.78 | $46.77 |