- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $44.67 / $87.10
| Facility | | $19.05 | $44.67 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.96 / $41.69
| Professional | | $10.00 | $10.96 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $66.07
| Facility | | $10.96 | $16.98 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $13.80 / $28.84
| Professional | | $8.32 | $13.80 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $29.51 / $46.77
| Facility | | $23.44 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $14.79
| Professional | | $12.88 | $12.88 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $19.05 / $46.77
| Facility | | $9.55 | $19.05 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $16.98 / $21.38
| Professional | | $8.71 | $16.98 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $3,630.78 / $9,772.37
| Facility | | $21.38 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $23.44
| Professional | | $19.95 | $19.95 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $34.67
| Professional | | $13.80 | $13.80 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $14.79 / $26.30
| Facility | | $12.88 | $14.79 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $66.07
| Facility | | $10.96 | $16.98 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $13.80 / $28.84
| Professional | | $8.32 | $13.80 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $12.30 / $20.89
| Professional | | $11.75 | $12.30 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $13.80 / $19.50
| Facility | | $6.92 | $13.80 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $12.30 / $27.54
| Professional | | $6.61 | $12.30 | $27.54 |