- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $43.75 / $86.74
| Facility | | $16.45 | $43.75 | $86.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.37 / $10.74 / $10.91
| Professional | | $10.37 | $10.74 | $10.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $24.05 / $65.65
| Facility | | $10.94 | $24.05 | $65.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.28 / $13.82 / $33.65
| Professional | | $8.28 | $13.82 | $33.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.99 / $12.99 / $14.65
| Professional | | $12.99 | $12.99 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $18.09 / $40.99
| Facility | | $9.66 | $18.09 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $12.67 / $21.16
| Professional | | $8.33 | $12.67 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $19.14 / $44.92
| Professional | | $13.82 | $19.14 | $44.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $14.65 / $25.33
| Facility | | $12.77 | $14.65 | $25.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.05 / $65.65 / $65.65
| Facility | | $24.05 | $65.65 | $65.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.28 / $24.18
| Professional | | $5.95 | $8.28 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $16.00 / $32.42
| Facility | | $11.90 | $16.00 | $32.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $9.61 / $20.11
| Professional | | $5.80 | $9.61 | $20.11 |