- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $50.55 / $158.55
| Facility | | $9.80 | $50.55 | $158.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $11.11 / $390.94
| Professional | | $6.49 | $11.11 | $390.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.62 / $146.65 / $356.15
| Facility | | $66.62 | $146.65 | $356.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $24.32 / $44.62
| Professional | | $7.32 | $24.32 | $44.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.22 / $75.70 / $135.58
| Facility | | $27.22 | $75.70 | $135.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $30.31
| Professional | | $5.75 | $8.22 | $30.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.66 / $78.68 / $196.02
| Facility | | $13.66 | $78.68 | $196.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $64.87 / $92.41
| Professional | | $8.86 | $64.87 | $92.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $60.80 / $97.28
| Professional | | $10.10 | $60.80 | $97.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.00 / $60.80 / $118.56
| Professional | | $47.00 | $60.80 | $118.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.28 / $288.80 / $288.80
| Facility | | $97.28 | $288.80 | $288.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.47 / $36.47 / $36.47
| Professional | | $36.47 | $36.47 | $36.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.52 / $45.60 / $123.81
| Facility | | $15.52 | $45.60 | $123.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $26.28 / $71.81
| Professional | | $8.91 | $26.28 | $71.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.40 / $213.40 / $213.40
| Professional | | $213.40 | $213.40 | $213.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $17.17 / $54.72
| Professional | | $10.30 | $17.17 | $54.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $25.54 / $102.54
| Professional | | $7.04 | $25.54 | $102.54 |