- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.87 / $49.92 / $76.76
| Facility | | $14.87 | $49.92 | $76.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.50 / $14.87 / $17.63
| Professional | | $14.50 | $14.87 | $17.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.82 / $107.55 / $8,639.91
| Facility | | $82.82 | $107.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.32 / $14.32 / $14.32
| Professional | | $14.32 | $14.32 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $23.86 / $60.85
| Facility | | $12.07 | $23.86 | $60.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $20.90 / $28.77
| Professional | | $10.25 | $20.90 | $28.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.83 / $24.86
| Professional | | $8.44 | $10.83 | $24.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.73 / $47.73 / $95.72
| Facility | | $47.73 | $47.73 | $95.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.61 / $49.92 / $76.76
| Facility | | $15.61 | $49.92 | $76.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $15.10 / $75.83
| Professional | | $13.22 | $15.10 | $75.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $24.93 / $60.85
| Facility | | $12.29 | $24.93 | $60.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $20.90 / $28.77
| Professional | | $10.25 | $20.90 | $28.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.36 / $18.36 / $18.36
| Facility | | $18.36 | $18.36 | $18.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.16 / $18.36 / $23.37
| Professional | | $16.16 | $18.36 | $23.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $12.23 / $31.95
| Professional | | $8.26 | $12.23 | $31.95 |